A prolapsing juvenile rectal polyp in a 9 year old female patient, successfully managed by Colonoscopic hot snare polypectomy

Background: Juvenile polyps typically present as painless rectal bleeding following defecation, and a small proportion of patients may develop prolapse. Although most juvenile polyps are naturally inflammatory, colorectal adenomatous polyps that grow from the mucosa harbor neoplastic characteristics. They have a malignant potential according to their size, grade of dysplasia, and patient’s age. Obstruction, prolapse, bleeding, or infection, which are anorectal emergencies, are among potential complications of large polyps, mainly when located at the distal rectum close to the anal verge. Case presentation:We present a 9-year-old tween who was successfully treated for a large tubulovillous rectal adenoma using a hot snare polypectomy. The patient has had recurrent bleeding and prolapsing dark red mass lesion through the anal opening during defecation and straining for the past year. Conclusion:Despite being the most common cause of painless hematochezia in children, diagnosis of Juvenile Polyps can easily be missed, and presentation could be delayed, resulting in various complications. A colonoscopy in a well-prepared colon is essential for diagnosis and appropriate intervention.