Related Experiment Videos
Solitary rectal ulcer syndrome in children
P Godbole1, I Botterill, S J Newell
1Department of Paediatric Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, U.K.
Insights
Solitary rectal ulcer syndrome (SRUS) is rare in children. Prompt diagnosis and tailored treatments based on lesion type are crucial for better outcomes in pediatric SRUS cases.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
Background:
- Solitary rectal ulcer syndrome (SRUS) is an uncommon condition in pediatric patients.
- Limited data exists on SRUS diagnosis, varied treatments, and outcomes in children.
Observation:
- Two pediatric cases of SRUS with distinct macroscopic pathologies are presented.
- Both cases experienced diagnostic delays, highlighting challenges in identifying the condition.
Findings:
- One patient with SRUS and full-thickness rectal prolapse improved after abdominal sutured rectopexy.
- The second patient with SRUS responded favorably to endoanal excision of polypoid lesions.
Implications:
- Emphasizes the need for thorough investigation in pediatric SRUS.
- Highlights the importance of customizing treatment strategies according to the specific pathological presentation of SRUS in children.
Abstract:
Solitary rectal ulcer syndrome (SRUS) is rare in children. Few reported cases have undergone detailed investigations, treatments have been extremely varied and outcome poorly documented. We report two cases of SRUS in children, each with a different macroscopic pathology. The diagnosis was delayed in both cases. The importance of appropriate investigation and the need to tailor treatment to the type of lesion are emphasised. One case of SRUS was associated with a complete, full thickness rectal prolapse and symptoms improved after an abdominal sutured rectopexy. The other patient responded well to endoanal excision of polypoid lesions. The diagnosis and management of this condition in children deserves wider recognition.