5 year old Boy with something coming out of the anus with pedicle attached to rectal/ anal wall and bright red bleeding- most common diagnosis -
Ans. is 'a' i.e., Juvenile rectal Polyp * Juvenile polyps are the most common type of childhood polyp, occurring in up to 1% of preschool children. They are usually solitary polyps found in the rectum which most commonly present with rectal bleeding.* These are hamartomatous polyps, which are usually pedunculated but can be sessile.* "The typical child with a juvenile polyp is 4 to 6 years of age, presents with intermittent painless rectal bleeding with bowel movements."- Rudolph's Pediatrics* Juvenile polyps are usually are not premalignant.* Because the gross appearance of these polyps is identical to adenomatous polyps, these lesions should also be treated by polypectomy.
Rectum
Juvenile rectal Polyp
Pedicle pile
Fissure
CA Colon
Juvenile rectal Polyp