A Case of Cap Polyposis with Epidermal Nevus in an Infant

Soon Chul Kim1,2, Myoung Jae Kang3, Yeon Jun Jeong4

  • 1Department of Pediatrics, Chonbuk National University Medical School, Chonbuk National University Hospital, Jeonju, Korea.

Insights

Cap polyposis, a rare condition, was diagnosed in an 11-month-old infant presenting with rectal prolapse and hematochezia. This case represents the youngest infant reported with this condition, highlighting its extreme rarity in pediatrics.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Pathology

Background:

  • Cap polyposis is an uncommon gastrointestinal disorder characterized by the formation of "cap" polyps.
  • It is exceptionally rare in pediatric populations, with limited documented cases in children.

Observation:

  • An 11-month-old male infant presented with rectal prolapse and hematochezia.
  • Physical examination revealed an epidermal nevus in the sacral area.
  • Colonoscopy demonstrated erythematous, multilobulated, circumferential, polypoid lesions with mucoid discharge in the rectum.

Findings:

  • Endoscopic and histologic examination confirmed the diagnosis of cap polyposis.
  • This represents the first reported case of cap polyposis in an infant.
  • The patient underwent surgical resection and subsequent follow-up.

Implications:

  • This case expands the known age range for cap polyposis.
  • It underscores the importance of considering rare diagnoses in infants with gastrointestinal bleeding and rectal abnormalities.
  • Further research may elucidate potential associations between epidermal nevi and cap polyposis.

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