Rectal Polyp in a newborn leading to massive lower gastrointestinal bleed

Krishnegowda, Lokesha; Mahajan, Jai Kumar; Rao, Kattargadda L.N.

doi:10.1016/j.jpedsurg.2008.01.070

Cited by 5 publications

(3 citation statements)

References 2 publications

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“…1 Juvenile polyps may present with hematochezia, prolapse of the polyp from the anus, abdominal pain due to intussusception or may even be asymptomatic. All such polyps should be removed by colonoscopy or transanal resection.…”

Section: Discussionmentioning

confidence: 99%

Prolapsed rectal polyp in an infant with massive lower gastrointestinal bleeding: case report

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Prolapsed rectal polyp in an infant with massive lower gastrointestinal bleeding: case report

et al. 2015

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“…Similarly, impaired venous return from prolonged pressure on the newborn’s abdominal cavity during delivery or portal hypertension from portal vein thrombosis following umbilical vein catheterization can result in neonatal hemorrhoids (4). A rectal polyp can masquerade as a hemorrhoid (5). Chronic liver disease is associated with hemorrhoids in up to 35% of children with portal hypertension; however, there are no reported cases of this etiology in neonates (6).…”

Section: Figurementioning

confidence: 99%

Neonatal Hemorrhoids: Getting to the Bottom of an Uncommon Finding

Graziose

Rogers

Greenwald

et al. 2022

Journal of Pediatric Gastroenterology &Amp; Nutrition

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This two-day-old term, female infant was born via uncomplicated vaginal delivery following an uneventful pregnancy. On the first day of life, the infant was noted to have pink, raised, perianal softtissue protuberances, larger while crying but spontaneously reducing when calm (Fig. 1).Anorectal disorders in children include neonatal etiologies, mostly anorectal malformations and infantile/childhood causes such as anal fissures and hemorrhoids (1). Our team suspected neonatal hemorrhoids, which can be manifested as an isolated clinical problem or can coexist with more complex anorectal anomalies (2,3).Neonatal hemorrhoids can be caused by compression of the abdominal vasculature from anatomic obstructions as can be seen with malignancy or embryologic abnormality. Similarly, impaired venous return from prolonged pressure on the newborn's abdominal cavity during delivery or portal hypertension from portal vein thrombosis following umbilical vein catheterization can result in neonatal hemorrhoids (4). A rectal polyp can masquerade as a hemorrhoid (5). Chronic liver disease is associated with hemorrhoids in up to 35% of children with portal hypertension; however, there are no reported cases of this etiology in neonates ( 6).An ultrasound of the abdomen and pelvis revealed normal hepatic and genitourinary anatomy (7). Doppler waveforms demonstrated hepatopedal flow in the portal vein. A newborn screen was normal.The protuberances self-resolved by 2 weeks of life. Since the infant was thriving, had normal imaging, and had hemorrhoid resolution, no serious underlying pathology was suspected. Neonatal hemorrhoids are a rare and often benign finding that warrants imaging to exclude underlying anatomic anomalies or portal hypertension and close follow-up.

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“…Certains signes peuvent orienter vers une pathologie particulière (lentiginose dans le cadre du Syndrome de Peutz Jehgers). L'âge d'apparition est variable pouvant même se révéler en période néonatale [4]. L'enquête clinique doit être complétée par un interrogatoire bien détaillé notamment à la recherche de consanguinité, d'antécédents familiaux de polype ou polypose ou de cancer colique.…”

Section: éLéments Cliniquesunclassified

Digestive Polyps and polyposis in children. Update and literature review

Idir¹

2016

Batna J Med Sci

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Les polypes digestifs constituent une entité peu étudiée chez l’enfant. Ils offrent une symptomatologie peu spécifique. L’approche diagnostique est basée sur une bonne anamnèse, un examen clinique complet et des examens complémentaires ciblés. L’exploration endoscopique et l’étude histologique constituent la pierre angulaire de la prise en charge. Il peut s’agir d’une polypose entrant dans le cadre d’un syndrome génétique ou d’un polype isolé.

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Rectal Polyp in a newborn leading to massive lower gastrointestinal bleed

Cited by 5 publications

References 2 publications

Prolapsed rectal polyp in an infant with massive lower gastrointestinal bleeding: case report

Prolapsed rectal polyp in an infant with massive lower gastrointestinal bleeding: case report

Neonatal Hemorrhoids: Getting to the Bottom of an Uncommon Finding

Digestive Polyps and polyposis in children. Update and literature review

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