P227 Solitary juvenile polyp manifesting as spontaneous resection with rectal bleeding in a child

Juvenile polyps are rare but important causes of acute gastrointestinal symptoms in children. Juvenile polyps may present with hematochezia, prolapse of the polyp from the anus, abdominal pain due to intussusception or may even be asymptomatic. All such polyps should be removed by colonoscopy or transanal resection. We experienced a case of 2 year old male who presented with rectal bleeding and polyp. The polyp was spontaneously resected and the size was 20x15 × 10 mm. Pathologically, the polyp was consistent with juvenile polyp of the rectum. Colonoscopy should be considered as the initial evaluation in children with rectal bleeding.