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 the 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 features include 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 3-week 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 an 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 the proper management of this rare disease entity in our environment.