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Case Reports
. 2020 Oct 27;2020(10):rjaa400.
doi: 10.1093/jscr/rjaa400. eCollection 2020 Oct.

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

Bharati Pandya  1 , Jason Golmei  1 , Merlyn S Henriques  1 , Anil Dawar  1
Affiliations
Case Reports

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

Bharati Pandya et al. J Surg Case Rep. .

Abstract

Polyps are defined as abnormal growth of tissue from a mucosal surface. Rectal polyps are the most common (2%) cause of gastro-intestinal bleed in children below 10 years. In adults, a rectal polyp presenting as an emergency with irreducible prolapse and massive bleeding causing severe anemia is seldom seen. We present one such case in which surgery was performed under austere circumstances before any investigations, as a life saving measure.

Keywords: austere circumstances; rectal polyp; rectal prolapse; tubulo-villous adenoma.

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Figures

Figure 1
Figure 1
The patient on presentation had a large prolapsing polypoidal mass per rectum, dragging along with it the anterior wall of rectum. The bleeding was almost watery and there was an area of injury which was due to finger insinuation for reducing the mass. The base of the polyp was wide ~3 x 2 cm from the left antero-lateral wall of the rectum ~6–7cms from the anal verge after resection.
Figure 2
Figure 2
The intra-operative picture of before and after resection of the polyp which was ~10 x 12 cm in size. The finger insinuation injury is seen with clots.
See this image and copyright information in PMC

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