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Case Reports
. 2021 Jul 18;13(7):e16455.
doi: 10.7759/cureus.16455. eCollection 2021 Jul.

Juvenile Retention Polyp in a Teenager

Alexander McClanahan  1 , Pablo Palomo  1   2 , Ana Burleson  3   4 , Jolanda Denham  1   2 , Tamarah Westmoreland  3   4
Affiliations
Case Reports

Juvenile Retention Polyp in a Teenager

Alexander McClanahan et al. Cureus. .

Abstract

The proper management of a prolapsed rectal mass in a child or teenager is challenging. Given that the underlying etiology of a prolapsed rectal mass in this population is not always immediately clear, interdisciplinary assessment is often required. Juvenile polyps, more commonly presenting with bleeding than a prolapsed mass, can mimic the appearance of both hemorrhoids and the rectum itself - making a purely clinical diagnosis difficult. Presented here is a case of a prolapsed colorectal polyp in a teenage boy, who underwent manual reduction of the mass, followed by colonoscopy and endoscopic ligation. Further histological evaluation revealed it to be a juvenile retention polyp. Despite the rarity of polyp prolapse as a presenting symptom, this case underscores the importance of considering colonic polyps as the etiology of a prolapsed anorectal mass in a teenager.

Keywords: colonic polyp; colonoscopy and polypectomy; juvenile retention polyp; pediatric surgery; prolapsed rectal mass.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Gross appearance of the juvenile polyp prolapsing through the anus, as present upon initial exam.
Figure 2
Figure 2. Endoscopic appearance of the juvenile polyp from the sigmoid colon.
Figure 3
Figure 3. Endoscopic appearance of the juvenile polyp from the descending colon.
See this image and copyright information in PMC

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