Solitary Rectal Ulcer Syndrome: A Case Series.
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Date
2010-12
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Abstract
A retrospective analysis of the clinical profile, endoscopic features and
management of 22 children (age 18 months – 18 years) diagnosed as solitary
rectal ulcer syndrome is presented. The majority (81.8%) were ≥8 years of age.
Rectal bleeding was the presenting feature in all the children. Mucorrhea,
constipation, tenesmus and rectal prolapse were observed in 77.3%, 63.6%, 59%
and 13.6% children, respectively. Colonoscopy showed classical single rectal ulcer
in 68.2% and multiple ulcers in 22.7%. Polypoidal and erosive lesions were
documented in 4.5% each. The medical management comprised of bowel training
and high fibre diet for all children. The other modalities included oral 5-amino
salicylate (59%), sucralfate enema (4.5%) and rectal mesalamine in 9%. 64%
children recovered and 13.6 % had recurrence of symptoms.
Description
Keywords
Colonoscopy, Lower gastrointestinal bleed, Rectal ulcer
Citation
Suresh N, Ganesh R, Sathiyasekaran Malathi. Solitary Rectal Ulcer Syndrome: A Case Series. Indian Pediatrics. 2010 Dec; 47(12): 1059-1061.