Juvenile polyp

A 5-year-old boy presented with an 8-months history of painless rectal bleeding. Parents reported an occasional retractable mass in the anal region (Fig. 1). Colonoscopy showed a 2.2 cm pedunculated polyp in the distal rectum (Fig. 2). Polypectomy was performed. Histological analysis revealed a juvenile polyp without dysplasia. The child was discharged with no recurrent episode of rectal bleeding during follow-up, therefore, not needing further investigation.

Fig. 1

Fig. 2

Juvenile polyps are benign hamartomas, that typically occur between the ages of 2 and 10 years. Patients usually present with painless rectal bleeding and polyps located in the rectum may present as prolapsed tissue.