Inflammatory colon polyp as a reason for bleeding from the lower part of the gastrointestinal tract in 5-year-old girl
Mieczysława Czerwionka-Szaflarska, Grażyna Bała, Jerzy Brazowski, Sylwia Murawska, Wojciech Kupczyk
CaseRepClinPractRev 2006; 7:212-215
Background: Colon polyps occur mainly among elderly people and they are found relatively rarely among
children. Polyps diagnostics is based on patient medical history, physical examination, additional
examinations (peripheral blood cell count, faecal blood occult test) and colonoscopy. The treatment of first choice is polypectomy. Up to the present, there was described one case of large inflammatory polyp causing occult bleeding from the gastrointestinal tract in child.
Case Report: We presented a case of the 5-year-old girl with bleeding from a lower part of the gastointestinal tract, showing fresh blood on a stool surface. The reason for bleeding was single, large, 29 mm in diameter, inflammatory polyp of sigmoid colon. This polyp was removed, using diatermic
loop during colonoscopy, with no complications.
Conclusions: The possibility of inflammatory polyps existence should be taken into consideration in every
case of bleeding from the lower part of the gastrointestinal tract. Colonoscopy is recommended
to be performed in these cases to complete the diagnostics.
Keywords: colon polyps, bleeding from the lower part of the gastrointestinal tract, children