Prague Med. Rep. 2026, 127, 219-224

https://doi.org/10.14712/23362936.2026.29

A Rare Mimicker of Malignancy: Inflammatory Cloacogenic Polyp Presenting as Obstruction in a Colon Cancer Survivor

Nur Bazlaah Bahari1ID, Khairul Hazim Hamdan1ID, Nur Allaiyna Ferdaus Kamudin1ID, Ling Tze Tan2ID, Firdaus Hayati3ID

1Department of Surgery, Selayang Hospital, Ministry of Health Malaysia, Batu Caves, Selangor, Malaysia
2Department of Pathology, Selayang Hospital, Ministry of Health Malaysia, Batu Caves, Selangor, Malaysia
3Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia

Received April 14, 2025
Accepted September 8, 2026

Inflammatory cloacogenic polyps are rare and often discovered either during routine colorectal cancer screenings or in symptomatic patients presenting with hematochezia. In unusual cases, they can present as an adhesive obstruction with radiological and clinical findings suggestive of a suspicious recurrent colorectal malignancy lesion. Because these polyps can mimic cancer during endoscopy, a detailed tissue examination is crucial for making the correct diagnosis and planning treatment. In this report, we share a challenging case where a patient with a history of cancer presented with signs that strongly suggested a malignant recurrence, but the final diagnosis was an inflammatory cloacogenic polyp. This case highlights the critical role of regular endoscopic monitoring in managing such complex conditions.

References

11 live references