Journal of Clinical Case Reports

Solitary Juvenile Polyp at a Rural Ugandan Hospital Presenting with Recurrent Rectal Bleeding. Case Report

Abstract

Gideon K. Kurigamba*, Vivian V. Akello, Asaph Owamukama, Irene Nanyanga

Juvenile polyps may also present with 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.
Objective: To share the experience of Juvenile polyposis, at Bwindi community hospital Uganda.
Design and methods: These are case reports of two children second degree relatives, who presented with recurrent rectal bleeding for 4 months after every passage of stool, with prolapse of a mass and were managed at Bwindi community hospital
Results: These patients were all admitted for a total of two days in Hospital. Average hemoglobin was 11.5 mg/dl. Both had a preoperative colonoscopy that revealed a solitary polyp in the rectal canal. They both underwent Examination Under Anesthesia (EUA) and transanal polypectomy.
Conclusion: Juvenile Polyps (JP) are rare, but a key cause of rectal bleeding in children and in low resource settings, transanal polypectomy remains the treatment of choice.