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Pediatric Rectosigmoid Atypical Juvenile Polyps Presenting With Rectal Prolapse and Acute Bleeding: A Case Report and
Javier Arredondo Montero1, Elena Carracedo Vega2, Socorro Razquin Lizarraga2
1Pediatric Surgery Department, Complejo Asistencial Universitario de León, León, Castilla y León, Spain.
Insights
Rectosigmoid solitary juvenile polyps, though common in children, rarely cause rectal prolapse. This case highlights rectal prolapse as a potential symptom of pediatric polyps, necessitating prompt diagnosis.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
- Pathology
Background:
- Solitary juvenile polyps are benign, frequent rectal lesions in children.
- Clinical presentation typically involves rectal bleeding, with rectal prolapse being a rare occurrence.
Observation:
- A 7-year-old female presented with acute rectal bleeding due to rectal prolapse of a polyp.
- Urgent endoscopic examination revealed two rectosigmoid polypoid lesions.
Findings:
- The resected lesions were anatomopathologically identified as two hamartomatous polyps with mild dysplasia.
- The patient remains asymptomatic post-resection and is under follow-up.
Implications:
- Rectal prolapse in pediatric patients should prompt consideration of underlying polyps.
- This case underscores the scarce literature on pediatric polypal rectal prolapse and its diagnostic considerations.
Abstract:
Rectosigmoid solitary juvenile polyps are benign lesions, relatively frequent in childhood. The clinical debut of a pediatric polyp with bleeding is relatively frequent, but there are very few reports of rectal prolapse of polyps. We present the case of a 7-year-old female patient with no previous history who presented with rectal prolapse of a polyp with acute bleeding. An urgent endoscopic examination was performed and 2 rectosigmoid polypoid lesions were found and resected. The anatomopathological study showed that these were 2 hamartomatous polyps with mild dysplasia. The patient is asymptomatic and is being followed up. The literature concerning rectal prolapse of polyps in the pediatric population is scarce. In a pediatric patient with a rectal prolapse, this entity should be considered in the differential diagnosis.
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