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Asociación Mexicana de Gastroenterología
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2007, Number 4

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Rev Gastroenterol Mex 2007; 72 (4)

Inflammatory cloacogenic polyp

Calva-Rodríguez R, González-Palafox MA, Rivera-Domínguez ME, García-Salazar JM, Calva-Cerqueira D
Full text How to cite this article

Language: Spanish
References: 12
Page: 371-375
PDF size: 136.84 Kb.


Key words:

Polyp, tumor, prolapsed, intestine, rectum, cloacogenic.

ABSTRACT

Introduction: Cloacogenic Polyps are characterized by the presence of inflammatory lesions in the lower rectum, and the anal transition zone. The polyps can prolaps; this is due to the malfunction of the internal anal sphincter, and the smooth muscle that covers the rectum. This is the result of the chronic inflammatory process. The lesions are more common in women during the third and fourth decade of life, however lesion have been described in 10 and 83 year olds. 85% lesions are located above the anal border, and predominantly in the anterior lateral wall. The polyps vary in size from 3-4 cm in diameter, and have a sessile appearance. Case report: 10-year-old female presents with a 3-month history of irregular abdominal pain, with occasional vomiting, constipation, and occasional diarrhea. Conclusions: This entity of colon polyps is somewhat rare, and is seen in young adults; however, its presence in infancy requires that we think of this entity when we formulate our differential diagnosis. Due to the character of the lesions, this entity could be confused with colorectal malignant tumors. All children and infants with a rectal mass, and blood in their stools should get a biopsy sent for histopathology. This technique can aid in analyzing the origin of the lesion.


REFERENCES

  1. Levine DS. Solitary rectal ulcer syndrome: are “solitary” rectal ulcer syndrome and “localized” colitis cystic profunda analogous syndromes caused by rectal prolapse? Gastroenterology 1987; 92: 243-53.

  2. Goldman H. Other inflammatory disorders of the intestines. In: Goldman H (ed.). Pathology of the Gastrointestinal Tract. 1 Ed. Ed. McGraw Hill; 1992, p. 703-5 y 885-7.

  3. Hanson IM, Armstrong GR. Anal intraepithelial neoplasia in an inflammatory cloacogenic polyp. J Clin Pathol 1999; 52: 393-4.

  4. Curr Diag Pathol 1997: 4: 222-38.

  5. Godbole P, Botterill I. Solitary rectal ulcer syndrome in children. Pediatr Surg 2000; 85: 411-14.

  6. Chetty R, Bhathal PS. Prolapse induced inflammatory polyps of the colorectum and anal transitional zone. Dis Col Rectum 1976; 19(7): 611-13.

  7. Bogomoletz WV. Solitary rectal ulcer Syndrome. Mucosal Prolapso Syndrome. Pathol Ann 1992; 27: 75-86.

  8. Du Boulay CE, Fairbrother J, Issacson PG. Mucosal Prolapse Syndrome. A unifying concept for solitary ulcer syndrome and related disorders. J Clin Pathol 1983; 36: 1264-8.

  9. Ford MJ, Anderson JR, Gilmonr HM, Holts S, Sircus W, Heoding RC. Clinical spectrum of “solitary ulcer” of the rectum. Gastroenterology 1983; 84: 1533-40.

  10. Saul S H. Inflammatory Cloacogenic polyp. Relationship to Solitary rectal ulcer syndrome/mucosal prolapsed and other bowel disorders. Hum Pathol 1987; 18: 1120-5.

  11. Hanson IM, Armstrong GR. Anal intraepithelial neoplasia in an inflammatory polyp. J Clin Pathol 1999; 52: 393-4.

  12. Lobert PF, Appelman HD. Inflammatory cloacogenic polyp. A unique inflammatory lesion of the transition zone. Ann J Surg Pathol 1981; 5: 761-6.




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Rev Gastroenterol Mex. 2007;72