Prolapsed Juvenile Polyp of the Anus in 2 Cases ()
Author(s)
Mohamed Lamine Sadou Sacko1,2*,
Balla Keita1,2,
Thierno Saidou Barry1,2,
Mory Sangare1,
Mamadou Madiou Barry1,
Moussa Conde1,
Seydou Keita3,
Salif Mariértou Sylla2,4,
Daniel Agbo-Panzo1,2
Affiliation(s)
1Department of Pediatric Surgery, CHU de Donka, Conakry, Guinea.
2Gamal Abdel Nasser University, Conakry, Guinea.
3General Surgery Department, Ignace Deen University Hospital, Conakry, Guinea.
4Gastroenterology Department, Conakry Military Hospital, Conakry, Guinea.
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, but anatomopathological 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.
Share and Cite:
Sacko, M. , Keita, B. , Barry, T. , Sangare, M. , Barry, M. , Conde, M. , Keita, S. , Sylla, S. and Agbo-Panzo, D. (2023) Prolapsed Juvenile Polyp of the Anus in 2 Cases.
Open Journal of Pediatrics,
13, 785-790. doi:
10.4236/ojped.2023.136086.
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