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Juvenile Polyp — RACP Paediatrics MCQ

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ModerateGastroenterologyJuvenile PolypRACP Paediatrics

A 2-year-old presents with painless rectal bleeding. The blood is bright red and mixed with stool. He is otherwise well. FBC is normal. What is the most likely diagnosis?

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Correct answer: D — Juvenile polyp

Juvenile (retention) polyps are the most common cause of painless lower GI bleeding in children aged 2-8 years. They are typically solitary, benign hamartomatous polyps found in the rectosigmoid. Diagnosis and treatment is by colonoscopic polypectomy.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Lower GI Bleeding