Abstract
We report a 6-year-old male who presented with anal bleeding associated with an unusual anal polyp. The polypoid lesion had been preceded by an anal fissure that was noticed after birth. Examination revealed a reddish, sessile, polypoid lesion of the anterior wall of the anal canal, which was removed by local excision. The histopathologic findings were consistent with an inflammatory cloacogenic polyp (ICP). Following excision, there has not been any recurrence during a follow-up period of 5 months. This case suggests that ICP is not a distinct entity, but rather a variation of the disorder called solitary rectal ulcer syndrome.
Similar content being viewed by others
References
Allen MS (1966) Hamartomatous inverted polyps of the rectum. Cancer 19: 257–265
Du Boulay CE, Fairbrother J, Isaacson PG (1983) Mucosal prolapse syndrome — a unifying concept for solitary ulcer syndrome and related disorders. J Clin Pathol 36: 1264–1268
Ford MJ, Anderson JR, Gilmour HM, Holt S, Sircus W, Heading RC (1983) Clinical spectrum of “solitary ulcer” of the rectum. Gastroenterology 84: 1533–1540
Kitatani H, Kajimoto T, Konuma K, Nanbu K, Konishi F (1990) Mucosal prolapse syndrome in children — a clinicopathological analysis of young patients (in Japanese). Stomach and Intestine 25: 1312–1318
Levine DS (1987) “Solitary” rectal ulcer syndrome. Are “solitary” rectal ulcer syndrome and “localized” colitis cystica profunda analogous syndromes caused by rectal prolapse? Gastroenterology 92: 243–253
Lobert PF, Appelman HD (1981) Inflammatory cloacogenic polyp. A unique inflammatory lesion of the anal transitional zone. Am J Surg Pathol 5: 761–766
Madigan MR, Morson BC (1969) Solitary ulcer of the rectum. Gut 10: 871–881
Ohta T, Ajioka Y, Watanabe H (1990) Morphogenesis of mucosal prolapse syndrome of the rectum (in Japanese). Stomach and Intestine 25: 1301–1311
Rutter KRP (1975) Solitary rectal ulcer syndrome. Proc R Soc Med 68: 22–26
Saul SH, Sollenberg LC (1985) Solitary rectal ulcer syndrome. Its clinical and pathological underdiagnosis. Am J Surg Pathol 9: 411–421
Talerman A (1971) Enterogenous cysts of the rectum. Br J Surg 58: 643–647
Watanabe H, Ajioka Y, Taguchi Y, Wakabayashi Y, Ishihara N, Iwabuchi M (1987) Histopathological reevaluation on mucosal prolapse syndrome of the rectum (in Japanese). Stomach and Intestine 22: 303–312
Wayte DM, Helwig EB (1967) Colitis cystica profunda. Am J Clin Pathol 48: 159–169
Author information
Authors and Affiliations
Additional information
Offprint requests to: Nobuhiko Komi
Rights and permissions
About this article
Cite this article
Muñoz, N.A., Takehara, H. & Komi, N. A pediatric case of inflammatory cloacogenic polyp. Pediatr Surg Int 7, 314–316 (1992). https://doi.org/10.1007/BF00183993
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00183993