Solitary rectal ulcer syndrome: a case series

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N Suresh1, R Ganesh, Malathi Sathiyasekaran

  • 1Kanchi Kamakoti CHILDS Trust Hospital, Nungambakkam, Chennai 600 034, India. drsuresh30@rediffmail.com

Indian Pediatrics
|May 11, 2010
PubMed

Insights

Solitary rectal ulcer syndrome in children often presents with rectal bleeding and constipation. Management includes dietary changes and medication, with a significant recovery rate but potential for recurrence.

Area of Science:

  • Pediatric Gastroenterology
  • Colorectal Surgery

Background:

  • Solitary rectal ulcer syndrome (SRUS) is a rare condition affecting the colon.
  • Understanding its pediatric presentation is crucial for timely diagnosis and treatment.

Purpose of the Study:

  • To analyze the clinical characteristics, endoscopic findings, and management outcomes of pediatric SRUS.
  • To identify key features and treatment effectiveness in children with SRUS.

Main Methods:

  • Retrospective analysis of 22 children diagnosed with SRUS.
  • Review of clinical data, endoscopic examinations (colonoscopy), and treatment modalities.
  • Assessment of recovery and recurrence rates.

Main Results:

  • Rectal bleeding was universal in children with SRUS; constipation and tenesmus were also common.
  • Endoscopy revealed single rectal ulcers in most cases, with some showing multiple or polypoidal lesions.
  • Medical management, including bowel training and 5-aminosalicylates, led to recovery in 64% of cases, with 13.6% experiencing recurrence.

Conclusions:

  • SRUS in children typically presents with rectal bleeding and is more prevalent in older children.
  • A combination of conservative measures and pharmacotherapy is effective, but recurrence necessitates ongoing management.

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