Solitary Rectal Ulcer Syndrome in Children: A Report of Six Cases
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Solitary rectal ulcer syndrome (SRUS) is a rare, benign disorder in children that usually presents with rectal bleeding,constipation, mucous discharge, prolonged straining, tenesmus,lower abdominal pain, and localized pain in the perineal area. The underlying etiology is not well understood, but it is secondary to ischemic changes and trauma in the rectum associated with paradoxical contraction of the pelvic floor and the external anal sphincter muscles; rectal prolapse has also been implicated in the pathogenesis. This syndrome is diagnosed based on clinical symptoms and endoscopic and histological findings, but SRUS often goes unrecognized or is easily confused with other diseases such as inflammatory bowel disease, amoebiasis, malignancy, and other causes of rectal bleeding such as a juvenile polyps. SRUS should be suspected in patients experiencing rectal discharge of blood and mucus in addition to previous disorders of evacuation. We herein report six pediatric cases with SRUS.
Abstract
Solitary rectal ulcer syndrome (SRUS) is a rare, benign disorder in children that usually presents with rectal bleeding,constipation, mucous discharge, prolonged straining, tenesmus,lower abdominal pain, and localized pain in the perineal area. The underlying etiology is not well understood, but it is secondary to ischemic changes and trauma in the rectum associated with paradoxical contraction of the pelvic floor and the external anal sphincter muscles; rectal prolapse has also been implicated in the pathogenesis. This syndrome is diagnosed based on clinical symptoms and endoscopic and histological findings, but SRUS often goes unrecognized or is easily confused with other diseases such as inflammatory bowel disease, amoebiasis, malignancy, and other causes of rectal bleeding such as a juvenile polyps. SRUS should be suspected in patients experiencing rectal discharge of blood and mucus in addition to previous disorders of evacuation. We herein report six pediatric cases with SRUS.
참고문헌 (22)
- Keshtgar AS, "Solitary rectal ulcer syndrome in children", Eur J Gastroenterol Hepatol, 20, pp.89~92 (2008)
- Blackburn C, "Clinical presentation of and outcome for solitary rectal ulcer syndrome in children", J Pediatr Gastroenterol Nutr, 54, pp.263~265 (2012)
- Perito ER, "Solitary rectal ulcer syndrome in children and adolescents", J Pediatr Gastroenterol Nutr, 54, pp.266~270 (2012)
- Al-Brahim N, "Solitary rectal ulcer syndrome: a clinicopathological study of 13 cases", Saudi J Gastroenterol, 15, pp.188~192 (2009)
- Dehghani SM, "Solitary rectal ulcer syndrome in children: a literature review", World J Gastroenterol, 18, pp.6541~6545 (2012)
- Suresh N, "Solitary rectal ulcer syndrome: a case series", Indian Pediatr, 47, pp.1059~1061 (2010)
- Martin de Carpi J, "Solitary rectal ulcer syndrome in childhood: a rare, benign, and probably misdiagnosed cause of rectal bleeding. Report of three cases", Dis Colon Rectum, 50, pp.534~539 (2007)
- Ertem D, "A rare and often unrecognized cause of hematochezia and tenesmus in childhood: solitary rectal ulcer syndrome", Pediatrics, 110, pp.e79~ (2002)
- Pai RR, "Solitary rectal ulcer syndrome in childhood", Trop Gastroenterol, 29, pp.177~178 (2008)
- Godbole P, "Solitary rectal ulcer syndrome in children", J R Coll Surg Edinb, 45, pp.411~414 (2000)
- Kiriştioğlu I, "Solitary rectal ulcer syndrome in children", Turk J Pediatr, 42, pp.56~60 (2000)
- Dehghani SM, "Solitary rectal ulcer syndrome in children: a prospective study of cases from southern Iran", Eur J Gastroenterol Hepatol, 20, pp.93~95 (2008)
- Saadah OI, "Solitary rectal ulcer syndrome presenting as polypoid mass lesions in a young girl", World J Gastrointest Oncol, 2, pp.332~334 (2010)
- Chong VH, "Solitary rectal ulcer syndrome: characteristics, outcomes and predictive profiles for persistent bleeding per rectum", Singapore Med J, 47, pp.1063~1068 (2006)
- Figueroa-Colon R, "Solitary ulcer syndrome of the rectum in children", J Pediatr Gastroenterol Nutr, 8, pp.408~412 (1989)
- Sondheimer JM, "Solitary rectal ulcer syndrome in a teenaged boy", J Pediatr Gastroenterol Nutr, 4, pp.835~838 (1985)
- Mackle EJ, "The pathogenesis and pathophysiology of rectal prolapse and solitary rectal ulcer syndrome", Clin Gastroenterol, 15, pp.985~1002 (1986)
- Rutter KR, "The solitary ulcer syndrome of the rectum", Clin Gastroenterol, 4, pp.505~530 (1975)
- Tjandra JJ, "Clinical conundrum of solitary rectal ulcer", Dis Colon Rectum, 35, pp.227~234 (1992)
- Gabra HO, "Solitary rectal ulcer syndrome in children. A report of three cases", Eur J Pediatr Surg, 15, pp.213~216 (2005)
- Turck D, "Lower gastrointestinal bleeding, In Pediatric gastrointestinal disease: pathophysiology, diagnosis and management. Volume 1. 4th ed", pp.266~280 (2004), BC Decker
- Madigan MR, "Solitary ulcer of the rectum", Gut, 10, pp.871~881 (1969)