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[Solitary rectal ulcer syndrome].
J Wenger1, C Gutiérrez, A Henríquez
1Unidad de Gastroenterología, Hospital Luis Calvo Mackenna.
Revista Chilena De Pediatria
|November 1, 1991
Summary
Solitary rectal ulcer syndrome (SRUS) is a rare rectal condition often linked to straining. This study highlights pediatric cases, emphasizing varied presentations and treatment approaches for this uncommon diagnosis.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Pediatric Gastroenterology
Context:
- Solitary rectal ulcer syndrome (SRUS) is an uncommon gastrointestinal condition.
- Typically diagnosed in adults, pediatric cases are infrequently reported.
- SRUS is characterized by a rectal lesion resulting from excessive straining during defecation.
Purpose:
- To present a series of pediatric cases with solitary rectal ulcer syndrome (SRUS).
- To describe the clinical presentation, diagnostic findings, and treatment outcomes in children with SRUS.
- To enhance awareness and understanding of SRUS in pediatric populations.
Summary:
- Five pediatric patients (four boys) presented with rectal bleeding, straining, tenesmus, and mucous discharge.
- Defecography revealed pelvic floor relaxation failure during straining in all children.
- Histopathology showed characteristic changes including collagen replacement and muscularis mucosae hypertrophy. Four patients responded to medical treatment; one required rectopexy.
Impact:
- Increased awareness of SRUS can lead to earlier and more frequent diagnosis in children.
- Understanding the varied presentations and treatment responses aids in managing pediatric SRUS.
- This study contributes to the limited literature on solitary rectal ulcer syndrome in pediatric patients.