Unexplained abdominal pain due to a juvenile polyp: a case report/Juvenil polip nedeniyle aciklanamayan karin agrisi: olgu sunumu

The most frequent clinical presentation of a juvenile polyp is painless rectal bleeding. We report a case of a 12-year-old boy who presented with unexplained abdominal pain and difficulty defecating but no rectal bleeding. A digital rectal examination showed no external hemorrhoid, anal fissure or other anal disease. However, a mass with stalk was detected about 5 cm above the anal verge. The mass suddenly exited the anus during the rectal examination and was diagnosed as a hamartomatous juvenile polyp on pathologic examination. Both a detailed patient history and a digital rectal examination might be necessary to evaluate the cause of unexplained abdominal pain and difficulty defecating in children and young people. Key words: Abdominal pain; digital rectal examination; juvenile polyp; rectal tumor. Juvenil polipin en sik gorulen klinik bulgusu agrisiz rektal kanamadir. Bu yazida, rektal kanama olmaksizin diskilama zorlugu olan ve aciklanamayan karin agrisi yakinmasiyla basvuran 12 yasindaki erkek bir olgu sunuldu. Rektal muayenede eksternal hemoroid, anal fissur veya baska bir anal hastalik saptanmadi. Ancak, anal kanaldan yaklasik 5 cm ileride sapli bir kitle saptandi. Rektal inceleme sirasinda aniden anusten disari cikan kitleye patolojik incelemede hamartomatoz polip tanisi kondu. Nedeni aciklanamayan karin agrisi ve diskilama zorlugu olan cocuk ve genclerde dikkatli bir oyku alma ve rektal muayene gereklidir. Anahtar sozcukler: Karin agrisi; parmakla rektal muayene; juvenil polip; rektum tumoru.