A 13 year child from the nearby town came to for minor bleeding in the stool, he feels that he has worms and he had seen small worms in stool. After exam, I ordered CBC and stool exam. To my surprize ova of Ankylostoma duodenal found positive. But Haemoglobin was normal. I prescribed Albendazole 400 mg every 15 days and probiotic cap. After one month, the child came back with more blood in stool and it is sticking to stool one side, but no worms.
I at once referred to colleague surgeon with the instructions that do a PR exam, if no fissure /ulcer in the snap canal, do a sigmoid scopy. The child came with a report of polyp 10cms away from the anus with ulcer and oozing of blood. The child was correct. I posted this case for awareness of clinicians, that polyp can arise in children's colon too. What do you think about polyps in children's colon?
