Gut Liver.  2013 Nov;7(6):752-755.

Solitary Rectal Ulcer Syndrome in Children: A Report of Six Cases

• Urganci N
• Kalyoncu D
• Eken KG

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.

Keyword

Child; Rectal bleeding; Solitary rectal ulcer

MeSH Terms

Adolescent
Anti-Inflammatory Agents, Non-Steroidal/therapeutic use
Anti-Ulcer Agents/therapeutic use
Child
Colonoscopy
Female
Gastrointestinal Hemorrhage/*diagnosis
Humans
Male
Mesalamine/therapeutic use
Rectal Diseases/*diagnosis/drug therapy
Steroids/therapeutic use
Sucralfate/therapeutic use
Syndrome
Ulcer/*diagnosis/drug therapy
Anti-Inflammatory Agents, Non-Steroidal
Anti-Ulcer Agents
Mesalamine
Steroids
Sucralfate