We present a case of inflammatory cloacogenic polyp in a 28-year-old man who had suffered from intermittent rectal bleeding for four years. A colonoscopy showed anal polyps. The patient had no previous medical history and had no known family history of polyps. Histopathology showed changes in the colonic mucous membrane consistent with the diagnosis inflammatory cloacogenic polyp, no dysplasia. Dysplasia has been described in ICP, but is rare. Nonetheless, histological examination of all perianal lesions, even in young adults, is important.