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Solitary rectal ulcer: an unusual cause of rectal bleeding in children
P A Eigenmann1, C Le Coultre, J Cox
1Department of Paediatrics, University of Geneva, Switzerland.
Insights
Solitary rectal ulcer syndrome (SRUS) is rare in children but treatable. Biofeedback defecation training effectively resolved SRUS and spastic pelvic floor syndrome in two pediatric patients.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
Background:
- Solitary rectal ulcer syndrome (SRUS) is a rare condition in children, often linked to rectal prolapse and intussusception.
- Chronic constipation due to spastic pelvic floor syndrome (SPFS) is frequently associated with SRUS.
Observation:
- Two pediatric patients presented with SRUS associated with SPFS.
- These conditions are typically diagnosed in adults, making pediatric cases noteworthy.
Findings:
- Both patients experienced complete recovery following biofeedback defecation training.
- This indicates biofeedback is an effective treatment for pediatric SRUS and SPFS.
Implications:
- Biofeedback defecation training offers a promising, non-invasive therapeutic option for pediatric SRUS and associated functional defecation disorders.
- Highlights the importance of considering SPFS in pediatric patients with SRUS and the efficacy of targeted behavioral interventions.
Abstract:
The solitary rectal ulcer syndrome (SRUS) is a disease which is commonly diagnosed in adults but only rarely described in children. Rectal prolapse and intussusception are frequently associated with this entity. A relationship between SRUS and chronic constipation due to spastic pelvic floor syndrome (SPFS) is often observed. Thus biofeedback defaecation training is an efficient treatment of both conditions. We describe two paediatric patients suffering from SRUS associated with SPFS who showed complete recovery after biofeedback defaecation training.