A prolapsing juvenile rectal polyp in a 9 year old female patient, successfully managed by Colonoscopic hot snare polypectomy

Document Type : Case Reports

Authors

1 Internal medicine, Medical, Bahirdar University, Bahirdar, Ethiopia

2 Gastroenterology, Internal Medicine, Felege Hiwot Comprehensive Specialized Hospital, Bahirdar, Ethiopia

Abstract

Background: Juvenile polyps typically present as painless rectal bleeding following defecation, and a small proportion of patients may develop prolapse. Although most juvenile polyps are naturally inflammatory, colorectal adenomatous polyps that grow from the mucosa harbor neoplastic characteristics. They have a malignant potential according to their size, grade of dysplasia, and patient’s age. Obstruction, prolapse, bleeding, or infection, which are anorectal emergencies, are among potential complications of large polyps, mainly when located at the distal rectum close to the anal verge. 
Case presentation:
We present a 9-year-old tween who was successfully treated for a large tubulovillous rectal adenoma using a hot snare polypectomy. The patient has had recurrent bleeding and prolapsing dark red mass lesion through the anal opening during defecation and straining for the past year. 
Conclusion:
Despite being the most common cause of painless hematochezia in children, diagnosis of Juvenile Polyps can easily be missed, and presentation could be delayed, resulting in various complications. A colonoscopy in a well-prepared colon is essential for diagnosis and appropriate intervention. 

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Footnotes. Ahmed Agrodey (Professor of internal medicine, gastroenterology, and hepatology unit), Nevin Fouad (Assistant professor of internal medicine, gastroenterology, and hepatology unit), and Sara Salem (lecturer of internal medicine, gastroenterology, and hepatology unit) were the peer reviewers. E- Editor: Salem Youssef Mohamed, Osama Ahmed Khalil, Amany Mohammed. Copyright ©. This open-access article is distributed under the Creative Commons Attribution License (CC BY). It may be used, distributed, or reproduced in other forums, provided the original author(s) and the copyright owner(s) are credited. The original publication in this journal must be cited according to accepted academic practice. Disclaimer: The authors' claims in this article are solely their own and do not necessarily represent their affiliated organizations or those of the publisher, the editors, and the reviewers. Any product evaluated in this article or its manufacturer's claim is not guaranteed or endorsed by the publisher. Ethical approval: Written informed consent was obtained from the patient and her parents after the studies were well explained before data collection. The hospital's Research Ethics Review Committee approved the study. Study protocol: In adherence to the principles outlined in the Helsinki Declaration, the study protocol was implemented with approval from the institutional review board. Before commencing the research, written consent was obtained to utilize their clinical information. Data and materials availability: The datasets used or analyzed during the current study are available from the corresponding author upon reasonable request. Competing interests: The authors declare that they have no competing interests. Funding: This study had no funding from any resource. This work was done according to the CARE guidelines. Authors' contributions Wudassie Melak Asmare and Zelalem Mulu Lashitie collected and followed up on the patients, carrying out the requested investigations. They also followed up with the patients and analyzed the collected data. All authors authorized the manuscript. Acknowledgment: none.

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