AI Article Synopsis
- A 9-year-old boy experienced chronic rectal bleeding, leading to the discovery of a large polyp in the rectal area during proctosigmoidoscopy that contained gastric mucosa.
- Biopsies indicated the presence of Helicobacter pylori-like organisms, contributing to a total of 30 documented cases of this rare condition in medical literature.
- Typical symptoms include chronic bleeding and rectal pain, with treatment generally involving surgical resection, though H2 receptor blockers may be used if peptic ulcers are present.
Article Abstract
We report the case of a 9-year-old boy who presented with chronic rectal bleeding. On proctosigmoidoscopy, a polypoid elevation in the rectal ampulla measuring 5 x 3 cm was found. Biopsies were reported to show gastric mucosa. The Giemsa stain showed Helicobacter pylori-like organisms. Including our patient, there are now 30 similar cases reported in the medical literature. The usual manifestations of this rare entity are chronic bleeding and rectal pain. In one-half of cases there is chronic rectal ulceration. The recommended treatment is transanal surgical resection unless there is rectal peptic ulceration. H2 receptor blockers are then advised. Surgical excision is carried out after healing has taken place.
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| http://dx.doi.org/10.1007/BF00341269 | DOI Listing |
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