A clinico-pathologic case of a pyogenic granuloma is reported in a 34-year-old male patient. Clinically, a nodular painless reddish tumour with a fibrinous membrane covered top, developed at the right caruncle. After surgical excision, the histopathological study established the diagnosis of a pyogenic granuloma, partially covered by a conjunctival epithelium, and a fibrinous membrane at its top.