PDF(Pubmed)
Abstract：
Rectal mucosal prolapse is uncommon in children. While most patients present with rectal bleeding and constipation, the occurrence of osseous metaplasia within the prolapsed mucosa is extremely rare. Overlapping clinical, gross, and histological features between rectal mucosal prolapse polyps and malignancy pose a challenge for diagnoses. We describe a case of a 16-year-old male who had a rectal mucosal prolapsed polyp with osseous metaplasia. He initially presented due to periumbilical pain with a sore throat and fever. Incidentally, during the workup of his periumbilical pain, he was found to have a soft tissue mass in his rectum on a CT scan, with a biopsy confirming the diagnosis. The case was complicated by the development of sepsis. The patient was treated with empiric antibiotics and was discharged without further complications.
摘要：
直肠粘膜脱垂在儿童中并不常见。虽然大多数患者出现直肠出血和便秘，脱垂粘膜内骨化生的发生极为罕见。重叠临床，gross,直肠粘膜脱垂息肉和恶性肿瘤之间的组织学特征对诊断提出了挑战。我们描述了一例16岁男性直肠粘膜脱垂息肉伴骨化生的病例。他最初是由于脐周疼痛，喉咙痛和发烧而出现的。顺便说一句,在他脐周痛的治疗过程中,CT扫描发现他的直肠有软组织肿块,活检证实了诊断.该病例并发脓毒症。患者接受经验性抗生素治疗，出院后无进一步并发症。
