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IMAGES
Year : 2021  |  Volume : 26  |  Issue : 5  |  Page : 362
 

Inflammatory cap polyposis of the rectum: A rare entity in an 11-year-old male child


Department of Pediatric Surgery, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India

Date of Submission25-Jan-2021
Date of Decision14-May-2021
Date of Acceptance15-Jun-2021
Date of Web Publication16-Sep-2021

Correspondence Address:
Dr. Pavai Arunachalam
PSGIMS&R, Peelamedu, Coimbatore - 641 004, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaps.JIAPS_12_21

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How to cite this article:
Arunachalam P, Giri OA, Sen S, Chaitra V, Sam CJ. Inflammatory cap polyposis of the rectum: A rare entity in an 11-year-old male child. J Indian Assoc Pediatr Surg 2021;26:362

How to cite this URL:
Arunachalam P, Giri OA, Sen S, Chaitra V, Sam CJ. Inflammatory cap polyposis of the rectum: A rare entity in an 11-year-old male child. J Indian Assoc Pediatr Surg [serial online] 2021 [cited 2023 Mar 31];26:362. Available from: https://www.jiaps.com/text.asp?2021/26/5/362/326052




A rare case and cause of bleeding PR with prolapse in a 11-year-old boy [Figure 1]. Colonoscopy showed rectum to be studded with multiple polyps with normal intervening mucosa. Resection with endorectal pull-through was done and is symptom-free after 2 years. Histopathological examination (HPE) was reported as inflammatory cap polyposis [Figure 2]. Inflammatory cap polyposis is a rare nonmalignant condition with poorly understood pathogenesis.[1]
Figure 1: Clinical picture revealing multiple prolapsed rectal polyps covered by inflammatory exudate

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Figure 2: (a and b) Wall of the colon with multiple polyps covered by the inflammatory cap. Base of the polyps shows dilated crypts with luminal serrations (H and E × 40). (c) Low power view of inflammatory cap consisting of granulation tissue covered with inflammatory exudate (H and E × 100). (d) Lower power view of the inflammatory cap showing hemosiderin-laden macrophages and bleeding

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient (s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initial s will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.



 
   References Top

1.
Anuchapreeda S, Phengsuthi P, Aumpansub P, Wisedopas N, Ratanachuek T. Polypectomy for recurrent inflammatory cap polyposis combined with argon plasma coagulation. ACG Case Rep J 2018;5:e35.  Back to cited text no. 1
    


    Figures

  [Figure 1], [Figure 2]



 

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