A case report of a giant solitary juvenile polyp: from obstructed defecation syndrome to incontinence.

Autor:	Teoh ZH; Department of Surgery, Hospital Universiti Sains Malaysia, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia., Soh JY; Department of Surgery, Hospital Universiti Sains Malaysia, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia., Mohamad N; Department of Radiology, Hospital Universiti Sains Malaysia, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia., Zawawi N; Department of Pathology, Hospital Universiti Sains Malaysia, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia., Zakaria AD; Department of Surgery, Hospital Universiti Sains Malaysia, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia., Zakaria Z; Department of Surgery, Hospital Universiti Sains Malaysia, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia., Wong MP; Department of Surgery, Hospital Universiti Sains Malaysia, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Jazyk:	angličtina
Zdroj:	Annals of coloproctology [Ann Coloproctol] 2024 May; Vol. 40 (Suppl 1), pp. S27-S31. Date of Electronic Publication: 2022 Nov 25.
DOI:	10.3393/ac.2022.00549.0078
Abstrakt:	Juvenile polyps (JPs) are the most common polyps in pediatric patients. We present the case of an 18-year-old male patient with a giant solitary JP resembling solitary rectal ulcer syndrome (SRUS). The presenting history was rectal bleeding and symptoms of obstructed defecation syndrome. Colonoscopy revealed a polypoidal mass at the anorectal junction, with biopsy-confirmed SRUS. The symptoms worsened, and a protruding mass from the anus caused fecal incontinence. Pelvic magnetic resonance imaging showed a huge pedunculated mass occupying the low rectum with local compression of the urinary bladder. Transanal excision of the anal tumor was performed due to bleeding. A histopathological examination showed a JP with high-grade dysplasia. A histological examination to differentiate JPs and SRUS could be challenging based on a superficial forceps biopsy. Therefore, an excision biopsy is usually warranted with the understanding that adenomatous or malignant transformation is found in 5.6% to 12% of all JPs.
Databáze:	MEDLINE
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