To do or not to do: prolapsed, bleeding, rectal polyp, a dilemma in austere circumstances

Area of Science:

• Gastroenterology
• Colorectal Surgery

Background:

• Polyps are abnormal tissue growths from mucosal surfaces.
• Rectal polyps are a common cause of gastrointestinal bleeding in children.
• Emergency presentation of rectal polyps in adults is rare.

Observation:

• An adult patient presented with an emergency of irreducible prolapsed rectal polyp.
• The condition caused massive bleeding leading to severe anemia.
• Surgery was performed as a life-saving measure under austere conditions prior to investigations.

Findings:

• The case highlights a seldom-seen emergency presentation of rectal polyps in adults.
• Prompt surgical intervention was crucial for managing massive bleeding and anemia.
• The successful outcome underscores the importance of surgical readiness in emergency scenarios.

Implications:

• This case emphasizes the need for heightened awareness of rectal polyps as a potential cause of emergency bleeding in adults.
• It highlights the critical role of timely surgical intervention in life-threatening situations, even with limited resources.
• Further research into the management of emergency rectal polyp presentations is warranted.