Question:

Identify the condition shown in the image below:

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A bright red, glistening, pedunculated rectal 'cherry' in a child.
Updated On: Jun 23, 2026
  • Peutz-Jeghers polyp
  • Juvenile polyp
  • Villous adenoma
  • Hyperplastic polyp
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The Correct Option is B

Solution and Explanation

Answer: Juvenile polyp.
The image shows a juvenile polyp, the classic 'cherry tumour'. It is a bright red, glistening, pedunculated sphere found in infants and children, usually in the rectum.

How it presents: painless rectal bleeding, and sometimes a polyp that prolapses through the anus during defecation, which may cause pain.

Why not the others: Peutz-Jeghers polyps are hamartomatous, small-bowel predominant, and come with mucocutaneous pigmentation. Villous adenoma is a large, sessile, frond-like premalignant lesion of older adults. Hyperplastic polyps are tiny, pale mucosal nodules with no malignant potential. Ref: Bailey & Love, Short Practice of Surgery, 27th ed, p. 1327
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