It consists of dense fibrous stroma and squamous epithelium. They are usually derived from dentate line and are range from few millimeters to centimeter. Giant fibroepithelial polyp of anus was reported by Galanis et al. Most of them are asymptomatic without any evidence of malignancy.  In 45% of population they are the incidental finding of proctoscopic examination. Here, 21-year male patients presented us with chief complain of something coming out per rectum and foreign body sensation in anal canal. No history of bleeding per rectum, pain in abdomen, tenesmus, discharge or altered bowel habit. General physical examination was unremarkable. On digital rectal examination elastic, tubular structure present 2 cm from anal verge. On proctoscopy anal polyp of size 2.5 cm was found. Polypectomy was done under saddle anesthesia. Histopathology shows a polypoidal structure lined by keratinized squamous epithelium. The stromal connective tissue shows dilated vessels and mild lymphocytic cell infiltrate. Features suggested of fibroepithelial polyp [1]. Patients was discharge under satisfactory condition and asymptomatic in follow up (Figure 1).

Figure 1: Fibroepithelial polyp of anal canal, protruding outside anus.

1. Kaipuzha RR, Pulimoottil TD, Bakshi SS, Gopalakrishnan S. Fibroepithelial polyps of the head and neck. J Dental Allied Scie. 2018; 7: 88-90.