Kim Soon Chul, Kang Myoung Jae, Jeong Yeon Jun, Hwang Pyoung Han
Department of Pediatrics, Chonbuk National University Medical School, Chonbuk National University Hospital, Jeonju, Korea.
Research Institute of Clinical Medicine-Biomedical Research Institute, Chonbuk National University Hospital, Jeonju, Korea.
J Korean Med Sci. 2017 May;32(5):880-884. doi: 10.3346/jkms.2017.32.5.880.
Cap polyposis is extremely rare in children. We report a case of an 11-month-old male infant who visited our hospital because of rectal prolapse and small amount of hematochezia lasting several days. He also had an epidermal nevus in the sacral area. Colonoscopy showed erythematous, multilobulated, circumferential, polypoid lesions with mucoid discharge from the rectum. He was diagnosed with cap polyposis by endoscopy and histologic examination. He was treated with surgical resection, and was closely followed up. In the relevant literature, there is no report of cap polyposis in an infant. We report the first case of cap polyposis in the youngest infant.
幼年性息肉病在儿童中极为罕见。我们报告一例11个月大的男婴，因直肠脱垂和持续数天的少量便血前来我院就诊。他在骶尾部还有一个表皮痣。结肠镜检查显示直肠有红斑样、多叶状、环形、息肉样病变，并伴有黏液样分泌物。通过内镜检查和组织学检查，他被诊断为幼年性息肉病。他接受了手术切除治疗，并进行了密切随访。在相关文献中，尚无婴儿患幼年性息肉病的报道。我们报告了最年幼婴儿患幼年性息肉病的首例病例。
