Per rectal bleeding is the most common presentation of Colorectal polyps. In children, isolated juvenile polyp is the most common type of polyp recognized. ‘Juvenile’ refers to its benign histological character of polyp and not for the age of onset. Typical age of presentation of juvenile polyps is 2 to 6 years, but can be found up to about ten years of age. These harmless polyps are usually single and 90% are found in rectosigmoid region. The intestinal polyps in children are typically sporadic, benign and non-familial; usually not associated with malignant transformation. Familial adenomatous polyposis (FAP) is also found in children and if not treated, have high risk of malignant transformation. Juvenile polyposis syndrome is another condition with high malignant potential. Although most of the polyps in children are often benign, a complete evaluation and timely diagnosis are essential to lessening worrisome symptoms and detecting polyps that may become malignant
