Affiliation:
1. Department of Pediatrics, Faculty of Medicine, Saga University, Saga, Japan
2. Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Abstract
Rationale:
Juvenile polyps (JPs) are the most common polyp type and can be observed in 1% of all preschoolers. The peak incidence is observed at ages 3 to 5 years, constituting 90% of all polyps in children. Elevated levels of fecal calprotectin (FC) are often seen in children with JPs.
Patient concerns:
A 15-month-old girl was referred to our hospital for blood on the stool surface persisting for 3 months. She was healthy, with no abdominal pain, diarrhea, anorexia, or weight loss and no complaints other than hematochezia. Her physical examination, vital signs and laboratory date were unremarkable.
Diagnosis:
JPs
Intervention:
Total colonoscopy for her found 2 JPs in the sigmoid colon, which were subsequently resected endoscopically.
Outcomes:
At the age of 5 years, this patient again had bloody stools. Her FC measurement at that time was 1020 mg/kg, which normalized to 42 mg/kg 3 months after her second resection.
Lessons:
Single or multiple solitary JPs require follow-up that fully considers the possibility of recurrence. Establishing a method for early confirmation of JP recurrence based on bloody stools, fecal occult blood testing, and FC measurement is necessary.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Reference16 articles.
1. Über die Histogenese der Schleimhautcarcinome.;Versé;Verh Dtsch Path Ges,1908
2. Some peculiarities in the histology of intestinal polyps.;Morson;Dis Colon Rectum,1962
3. Polypoid disease of colon in children.;Soyer;Pediatr Surg Int,2020
4. Juvenile colorectal polyps in children: experience in Pakistan.;Mandhan;Pediatr Surg Int,2004
5. Fecal calprotectin.;Ayling;Adv Clin Chem,2018