A 15 year old girl presented with rectal bleeding, growth failure, digital clubbing and mental retardation

Abstract

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A 15 year old girl of non-com-sanguineous parents presented at the out-patient department with the history of intermittent rectal bleeding for the last 6 years. Rectal bleeding was painless and there was the passage of a small amount of bright red blood drop by drop after defecation. She also complained of something coming out through the anus during defecation for last one year. Mother also noticed that her child had learning difficulties and not growing well like other peers. Her menarche had not started yet. Her elder two sisters and younger two brothers are healthy. She had no family history of rectal bleeding or colorectal cancer.