Clin Pediatr Hematol Oncol.  2016 Apr;23(1):53-56. 10.15264/cpho.2016.23.1.53.

A Case of Solitary Rectal Ulcer Syndrome in a 16-year-old Girl Presented with Iron Deficiency Anemia

• Jung SH
• Kim YB
• Kim HJ
• Hwang JW
• Lee SH
• Jung SJ
• Park JK

• KMID: 2168909
• DOI: http://doi.org/10.15264/cpho.2016.23.1.53

Abstract

Solitary rectal ulcer syndrome (SRUS) is a rare condition that is most commonly characterized by rectal pain and bleeding. It can be accompanied by diarrhea or constipation, tenesmus, and rectal prolapse. Considering its non-specific symptoms, it is often difficult to diagnose, particularly in children. The underlying etiology of SRUS is not fully understood; however, it may be secondary to ischemic changes in the rectum associated with paradoxical contraction of the pelvic floor and external anal sphincter muscles and rectal prolapse. The macroscopic appearance of the rectal lesion may vary from hyperemia to ulceration or a polypoid lesion that can mimic carcinoma, although the histological findings are characteristic, with fibromuscular obliteration of the lamina propria and disorientation of muscle fibers. We report an adolescent case of SRUS developed in a 16-year-old adolescent girl who presented with iron deficiency anemia.

Keyword

Solitary rectal ulcer syndrome; Anemia; Adolescent

MeSH Terms

Adolescent*
Anal Canal
Anemia
Anemia, Iron-Deficiency*
Child
Constipation
Diarrhea
Female*
Hemorrhage
Humans
Hyperemia
Iron*
Mucous Membrane
Muscles
Pelvic Floor
Rectal Prolapse
Rectum
Ulcer*
Iron