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An unusual hamartomatous malformation of the rectosigmoid presenting as an irreducible rectal prolapse and necessitating rectosigmoid resection in a 14-week-old infant

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Diseases of the Colon & Rectum

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Abstract

A 14-week-old female infant presented with an irreducible rectal prolapse and a large polypoid tumor at the tip of the prolapsed mucosa. The tumor and prolapsed rectum were resected. Four weeks after the operation, profuse rectal bleeding occurred and a second similar tumor was diagnosed by endoscopy in the sigmoid colon. Laparotomy, rectosigmoid resection, and endorectal pull-through were performed. At operation, the serosal surface showed ragged polypoid lesions and an abnormal angiomatous vascularization. The postoperative course was uneventful. The histology suggested a congenital mucosal malformation. This pathology is unique in our experience and we have been unable to find anything resembling it in the literature. At age two years a Sertoli cell tumor developed in the girl with pubertas precox and a recurrent colonic polyp of the Peutz-Jeghers type.

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Authors and Affiliations

  1. Free University of Brussels and the Department of Pediatric Surgery, Children's Hospital Medical Center, Centre Hospitalier, 4, rue Barblé, L-1210, Luxembourg

    Alfred J. Lamesch M.D.

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  1. Alfred J. Lamesch M.D.
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Lamesch, A.J. An unusual hamartomatous malformation of the rectosigmoid presenting as an irreducible rectal prolapse and necessitating rectosigmoid resection in a 14-week-old infant. Dis Colon Rectum 26, 452–457 (1983). https://doi.org/10.1007/BF02556525

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  • DOI: https://doi.org/10.1007/BF02556525

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