International Journal of Gastrointestinal Medicine & Research

Abstract

Background: Juvenile polyps are the most common polyps seen in children and are usually solitary lesions located in the rectosigmoid colon. They are generally small, measuring 1 to 3 cm in diameter, and are considered benign hamartomas. Giant juvenile polyps exceeding 4 cm are rare in children and can mimic other anorectal conditions, which may lead to diagnostic confusion. Case presentation: We report the case of a 9-year-old Indian girl who presented with intermittent rectal bleeding and obstructed defecation symptoms, including protrusion of a globular mass during defecation, incomplete evacuation, and straining. On examination, a pedunculated polypoidal mass measuring 4.0 × 3.7 × 3.5 cm was identified in the anal canal.

Endoscopic snare polypectomy was performed under general anesthesia, and the lesion was completely excised. Histopathological evaluation confirmed the diagnosis of a juvenile polyp, showing cystically dilated glands lined by non-dysplastic epithelium within an inflamed stroma. No dysplasia or malignancy was detected. Follow-up colonoscopy at three months revealed no recurrence, and the patient remained asymptomatic at six months.

Conclusion: A rare presentation of a giant juvenile polyp in the anal canal of a child. Endoscopic polypectomy provides a safe and effective treatment, and histopathological confirmation is essential for accurate diagnosis.

Educational Objectives

• This report describes a rare case of a giant juvenile polyp exceeding 4 cm in size, located in the anal canal of a young child.

• This case provides a comprehensive overview of the successful management of a giant juvenile polyp.