ABSTRACT
A 7-year-old boy is brought in by his parents with concern for rectal bleeding. Both parents had gone to the store and left the child with relatives for about 4 hours. While they were away, a neighbor called the parents to say she called an ambulance after the child came to her apartment saying he was hurt. She saw blood on his shorts and underwear and thought there was bleeding from his rectum. He would not say how he got hurt. When questioned by the mother, the boy said he slipped and fell in the bathroom, but he would not give more details. He is otherwise healthy without any medical problems or surgical history. During a focused history, the mom states he is a developmentally normal child without any delays. His review of systems is negative for weight loss, fevers, chills, night sweats, rashes, or pallor.
