Journal of the Bahrain Medical Society

Year 2025, Volume 37, Issue 1, Pages 13-16

https://doi.org/10.26715/jbms.37_1_2

Case Report

Juvenile Polyp with Osseous Metaplasia Presenting with Fecal Incontinence in Young Patient : Case Report of Unusual Presentation

Fatima Alrowaiei1, Mohammed Awadh2*, Thamer Alabbasi3, Abdulla Darwish4

Author Affiliation

1Resident in Pathology, Bahrain Defense Force Royal Medical Services, Bahrain

2Consultant Histopathologist, Bahrain Defense Force Royal Medical Services, Bahrain

3Consultant Surgeon, Bahrain Defense Force Royal Medical Services, Bahrain

4Consultant Histopathologist, Bahrain Defense Force Royal Medical Services, Bahrain

*Corresponding author:

Mohammed Awadh, Consultant Histopathologist, Bahrain Defense Force Royal Medical Services, Bahrain. E-mail: Mib141@hotmail.com

Received date: September 17, 2024; Accepted date: January 20, 2025; Published date: March 31, 2025

For appendix, tables and figures (if any), please refer to PDF.


Abstract

Osseous metaplasia is rare in colorectal lesions and exceedingly rare in colonic polyps. We present a case report of rectal juvenile polyp with stromal osseous metaplasia in a 21-year-old male who presented with fecal incontinence episodes throughout the day and night over the past 2 years. The patient underwent a colonoscopy and polypectomy, which showed a juvenile polyp with osseous metaplasia. The patient’s primary concern was to fully recover postoperatively. Juvenile polyp with osseous metaplasia may be added to the differential diagnosis of patients with fecal incontinence. This work aims to discuss pathogenesis and review the literature on this rare condition.

Keywords: Colorectal polyp, Juvenile polyp, Osseous metaplasia, Colorectal tumors, Intestinal imaging