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Virtual Pediatric Hospital: Paediapaedia: Juvenile Polyps of the Colon Paediapaedia: Gastrointestinal Diseases

Juvenile Polyps of the Colon

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed

Clinical Presentation:
Usually become symptomatic, with hematochezia, by 10 years old. Polyps are the most common cause of bright red rectal bleeding in children over 2 years old. Complications include rectal prolapse, vague abdominal pain, and colocolonic intussusception.

Benign inflammatory lesions with no malignant potential. Treatment is conservative as they will auto amputate over time.

Cystic spaces lined by mucous secreting cells.

Imaging Findings:
Are round, pedunculated polyps ranging in size from a few millimeters to several millimeters in diameter. Their most common location (66%) is in the rectosigmoid colon. Twenty-five percent of cases have multiple polyps. The double contrast enema is the imaging procedure of choice.

For rectal bleeding in a child:

See References Chapter.

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