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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.
Abstract:
Cap polyposis is extremely rare in children. We report a case of an 11-month-old male infant who visited our hospital because of rectal prolapse and small amount of hematochezia lasting several days. He also had an epidermal nevus in the sacral area. Colonoscopy showed erythematous, multilobulated, circumferential, polypoid lesions with mucoid discharge from the rectum. He was diagnosed with cap polyposis by endoscopy and histologic examination. He was treated with surgical resection, and was closely followed up. In the relevant literature, there is no report of cap polyposis in an infant. We report the first case of cap polyposis in the youngest infant.
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