Abstract
A 6-year-old boy with a history of diarrhea and rectal bleeding was referred to our department where he underwent ultrasound (US) examination for suspected inflammatory bowel disease. US showed the presence of an echoic oval mass measuring about 30 × 24 mm located at the transition between the transverse and descending colon. It moved with the peristaltic waves and was attached to the intestinal wall through a pedicle. Color Doppler showed intralesional blood flow. On the basis of these findings, the patient was suspected of having a colon polyp. This diagnosis was confirmed at subsequent colonoscopy. The mass was removed using a diathermy snare, and histologic examination revealed hamartomatous polyp measuring 32 mm.
Riassunto
Un bambino maschio di 6 anni con storia di diarrea e sanguinamento rettale, veniva sottoposto presso la nostra struttura ad un esame ecografico nel sospetto di una malattia infiammatoria intestinale. Tale esame evidenziava la presenza di una formazione ovalare ecogena a livello del colon trasverso/discendente di circa 30×24 mm, mobile con i movimenti peristaltici e provvista di peduncolo; il color Doppler evidenziava segnale vascolare interno. Venne posto il sospetto di polipo intestinale, che fu confermato alla successiva colonscopia. All’esame istologico, eseguito dopo rimozione con ansa diatermica, risultava essere un polipo amartomatoso di 32 mm.
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Conflict of interest
Valerio Vitale, Marco Di Serafino, Carmela Mercogliano, Gianfranco Vallone declare that they have no conflict of interest.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. The patient’s parents provided written informed consent to the publication of this paper and to the inclusion in this article of images and information that could potentially lead to his identification.
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Vitale, V., Di Serafino, M., Mercogliano, C. et al. Giant colon polyp in a child with suspected inflammatory bowel disease: US findings. J Ultrasound 19, 53–55 (2016). https://doi.org/10.1007/s40477-014-0091-8
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DOI: https://doi.org/10.1007/s40477-014-0091-8