NMA/AGSM/2023/PUBH/ - Inflammatory Cloacogenic Polyp Masquerading as Haemorrhoid.

Abstract

The inflammatory cloacogenic polyp (myoglandular polyp, proctitis cystic profunda) is a rare lesion arising in the region of anorectal transitional zone, which is generally the result of mucosal prolapse due to recurrent mucosal injury. Common in middle-aged and older patients and essentially in patients presenting with hemorrhoids. Common clinical feature includes constipation, Bleeding, tenesmus and mucoid stools. Differential diagnosis of the lesions is prolapsing hemorrhoid, other polyps such as juvenile or adenomatous polyps or even carcinoma. We present a 23year old male patient who presented with 3 weeks history of tenesmus, protrusion and bleeding per anus. All other laboratory investigation parameters done were within normal limits. The resected protruded anal mass was sent for histopathological analysis. A histological diagnosis of inflammatory cloacogenic polyp was made and therefore entertained as the final diagnosis. We present this rare case in our environment. Appropriate diagnosis is needed for proper management of this rare disease entity in our environment.