Grade III bleeding haemorrhoids in a 6‐year‐old boy

We report a case of grade 3 bleeding haemorrhoids in a 6‐year‐old boy, who had a history of bleeding per rectum since he was 1‐year‐old. The diagnosis was made on anoscopic examination after ruling out other colorectal pathologies by a full‐length colonoscopy. There was no evidence of portal hypertension. He was successfully treated with haemorrhoidectomy. A congenital weakness of the haemorrhoid vein wall was thought to be the probable cause of disease for want of any other causative factor. Though rare to be found at the age of 6 years without any obvious aetiology, haemorrhoids should be considered as one of the causes of bleeding per rectum in children.