A Rare Case of Pedunculated, Prolapsed Juvenile Rectal Polyp in a Pediatric Patient

The prolapse of a pedunculated juvenile rectal polyp is a rare event. It occurs when the polyp protrudes through the anus and appears as a fleshy mass at the anus, leading to an alarming scenario for both the parent and patient and typically prompting a visit to the emergency department (ED). We report a case of a five-year-old male patient who presented to the ED with a prolapsed rectal mass. A careful examination revealed it to be a pedunculated prolapsed polyp through the anus. The polyp was excised in the ED without complication, and the patient was discharged home with follow-up appointments with both pediatric surgery and gastroenterology for colonoscopy. The pathology report later confirmed the diagnosis of the juvenile polyp. We present this case to raise awareness about the various presentations of juvenile polyps and to familiarize clinicians with this diagnosis.