Prolapsed rectal polyp in an infant with massive lower gastrointestinal bleeding: case report
Keywords:
Prolapse, Rectal polyp, Juvenile polyp, Infant, Lower gastrointestinal bleedingAbstract
Polyps of the gastrointestinal tract are common cause of rectal bleeding in toddlers and preschoolers. But herein we are reporting prolapsed rectal polyp with massive lower gastrointestinal bleeding in an infant. Rectal polyps in children are juvenile in their majority and are mostly located at the rectum. In a large review series of 563 children aged from 2 months to 17 years the highest incidence of polyps was between ages 2 and 10 years (85.1%). Rectal bleeding was the presenting symptom in 78.5% cases. Though most of them are benign, risk of malignancy is always there if missed.
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References
Lokesha Krishnegowda, Jai Kumar Mahajan, Kattargadda LN. Rao. Rectal polyp in a new-born leading to massive lower gastrointestinal bleed. J Pediatr Surg. 2008 Jun;43(6):E15-6.
Nagasaki A, Yamanaka K, Toyohara T, Ohgami H, Aoki T, Sueishi K. Management of colorectal polyps in children. Acta Paediatr Jpn. 1993;35:32-5.
Haghi Ashtiani MT, Monajemzadeh M, Motamed F, Moradi Tabriz H, Mahjoub F, Karamian H, et al. Colorectal polyps: a clinical, endoscopic and pathologic study in Iranian children. Med Princ Pract. 2009;18:53-6.
Coburn MC, Pricolo VE, DeLuca FG, Bland KI. Malignant potential in intestinal juvenile polyposis syndromes. Ann Surg Oncol. 1995;2:386-91.
Pillai RB, Tolia V. Colonic polyps in children: frequently multiple and recurrent. Clin Pediatr (Phila). 1998;37:253-7.
Uchiyama M, Iwafuchi M, Yagi M, Iinuma Y, Kanada S, Ohtaki M, et al. Fiberoptic colonoscopic polypectomy in childhood: report and review of cases. Pediatr Int. 2001;43:259-62.
