Advanced grades of bleeding hemorrhoids in a young boy.

We report a case of advanced grades of bleeding hemorrhoids in a 10-yrs-old boy, who had a history of bleeding per rectum since he was 5 year of age. The diagnosis was made on anoscopic examination after ruling out other colorectal pathologies by a full-length colonoscopy. There was no evidence of portal hypertension. He was successfully treated with radiofrequency ablation and plication of hemorrhoids using a Ellman radiofrequency generator. Though rare to be found at the age of ten years without any obvious etiology, hemorrhoids should be considered as one of the causes of bleeding per rectum in children.