Prolapsed rectal submucosal hematoma in pediatric case

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A rectal submucosal hematoma, imperfectly called a thrombosed external pile or external hemorrhoid, is a collection of blood within the skin around the anus, occurring due to a ruptured blood vessel within the submucosa usually caused by some minor trauma such as hard stool or due to severe constipation. Present case is a six year old girl child came into view with large mass coming out from anus with red dark-purple collection, pain and discomfort. She was unable to walk or sit. On examination no significant history of trauma except constipation, there was no history of per-rectal bleeding. Suddenly a swelling appeared after defecation. She was hospitalized for surgical excision. After hospitalization this swelling burst and reduced with discharge of clotted blood.

Figure 1.

prolapsed rectal submucosal hematoma in pediatric case