TITLE:
Prolapsed Juvenile Polyp of the Anus in 2 Cases
AUTHORS:
Mohamed Lamine Sadou Sacko, Balla Keita, Thierno Saidou Barry, Mory Sangare, Mamadou Madiou Barry, Moussa Conde, Seydou Keita, Salif Mariértou Sylla, Daniel Agbo-Panzo
KEYWORDS:
Polyp, Juvenile, Prolapse, Child
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.13 No.6,
November
6,
2023
ABSTRACT: Introduction :Rectal polyps are well-circumscribed, sessile or
pedunculated formations that develop on the digestive mucosa. Juvenile polyps
are seen in 4% - 12% of cases during pediatric colonoscopies. In children, rectal bleeding
is a frequent warning sign, often a recurrent bleed with no impact on general condition. Diagnosis is based on clinical, imaging
and digestive investigations, butanatomopathological examination
remains the only means of confirmation. There are a number of treatment
options, ranging from abstention to surgical excision. We report two (2) cases
of isolated hemorrhagic juvenile polyp prolapsed to the anus in order to
analyze the diagnostic and therapeutic features of this pathology. Patients
and observations: A
7-year-old female patient presented to the pediatric emergency department of
the Donka National Hospital with a hemorrhagic anal mass. On clinical
examination, the patient was found to be in satisfactory general condition,
with a hemorrhagic pedicle mass prolapsed to the anus. The mass was removed
under general anesthesia. Postoperative management was straightforward. Conclusion: Juvenile polyps are the most common proctological condition
in this age group. Clinical examination must be meticulous, as certain signs
may point to a particular pathology. Colonoscopy is the diagnostic test of
choice, and can also be used as a therapeutic tool.