Article: Pulse Granulomas Detected in Gallbladder, Fallopian Tube, and Skin

Context.-Foreign material typically elicits reactions dominated by multinucleated giant cells. Pulse granulomas are peculiar reactions to particles of food that are characterized by clusters of small to medium-sized hyaline rings. Pulse granulomas are rare and have occupied only the lungs, in association with aspiration, and the alimentary canal, in association with oral pathology, colonic diverticula, and a rectal mass.

Objective.-To report pulse granulomas that occupied previously unrecognized sites and to alert pathologists to the diagnostic pitfall of mistaking pulse granulomas for other entities.

Design.-We retrospectively reviewed 3 recently encountered cases that involved pulse ...

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