# Don't forget to turn around: A case of hematochezia and tenesmus driven by anorectal inflammatory cloacogenic polyp

## TL;DR

A 13-year-old boy with anorectal symptoms was diagnosed with an inflammatory cloacogenic polyp after a second endoscopic evaluation using rectal retroflexion.

## Contribution

The case emphasizes the need to consider ICP in the anorectal transitional zone when diagnosing distal colitis.

## Key findings

- The ICP was only identified during the second endoscopic evaluation using rectal retroflexion.
- The case underscores the importance of including ICP in the differential diagnosis for anorectal symptoms.

## Abstract

We report a case of a 13‐year‐old male who presented to the Pediatric Gastroenterology clinic with complaints of abdominal pain and frequent stooling, worsened by hematochezia. Despite undergoing endoscopic evaluation twice within a 1‐year period, the diagnosis of an Inflammatory Cloacogenic Polyp (ICP) was only revealed during the second evaluation, in which rectal retroflexion was performed. This case highlights the importance of maintaining the ICP at the anorectal transitional zone as part of the differential diagnosis when evaluating patients with symptoms of distal colitis.