Prolapsed Juvenile Polyp of the Anus in 2 Cases  

作　　者：Mohamed Lamine Sadou Sacko Balla Keita Thierno Saidou Barry Mory Sangare Mamadou Madiou Barry Moussa Conde Seydou Keita Salif Mariértou Sylla Daniel Agbo-Panzo Mohamed Lamine Sadou Sacko;Balla Keita;Thierno Saidou Barry;Mory Sangare;Mamadou Madiou Barry;Moussa Conde;Seydou Keita;Salif Mariértou Sylla;Daniel Agbo-Panzo(Department of Pediatric Surgery, CHU de Donka, Conakry, Guinea;Gamal Abdel Nasser University, Conakry, Guinea;General Surgery Department, Ignace Deen University Hospital, Conakry, Guinea;Gastroenterology Department, Conakry Military Hospital, Conakry, Guinea)

机构地区：[1]Department of Pediatric Surgery, CHU de Donka, Conakry, Guinea [2]Gamal Abdel Nasser University, Conakry, Guinea [3]General Surgery Department, Ignace Deen University Hospital, Conakry, Guinea [4]Gastroenterology Department, Conakry Military Hospital, Conakry, Guinea

出　　处：《Open Journal of Pediatrics》2023年第6期785-790,共6页儿科学期刊（英文）

摘　　要：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.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.

关 键 词：POLYP JUVENILE PROLAPSE CHILD 

分 类 号：R57[医药卫生—消化系统]