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A rare cause of severe rectal bleeding: solitary rectal ulcer syndrome
Nafiye Urganc1, Derya Kalyoncu, Merve Usta
1From the * Division of Pediatric Gastroenterology; †Department of Pediatrics; and ‡Department of Pathology, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.
Insights
Solitary rectal ulcer syndrome is a rare pediatric condition often misdiagnosed. This case highlights severe rectal bleeding as a key symptom, emphasizing the need for prompt recognition.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
Background:
- Solitary rectal ulcer syndrome (SRUS) is a rare, benign condition affecting children.
- It is frequently misdiagnosed due to overlapping symptoms with common pediatric ailments.
Observation:
- The patient presented with severe rectal bleeding, a hallmark symptom of SRUS.
- Other associated symptoms include constipation, mucous discharge, straining, tenesmus, and abdominal pain.
Findings:
- SRUS diagnosis can be challenging, often requiring a high index of suspicion.
- Rectal bleeding severity in SRUS can range from mild to life-threatening hemorrhage.
Implications:
- Early recognition and diagnosis of SRUS are crucial for appropriate management.
- This case underscores the importance of considering rare conditions in pediatric differential diagnoses, especially with severe symptoms.
Abstract:
Solitary rectal ulcer syndrome is a rare benign disorder in children which often goes unrecognized or easily misdiagnosed with other common diseases. It usually presents with rectal bleeding, constipation, mucous discharge, prolonged straining, tenesmus, and lower abdominal pain. The rectal bleeding varies from a little fresh blood to severe hemorrhage that requires blood transfusion. We report herein a pediatric case of solitary rectal ulcer syndrome who admitted to pediatric emergency department with severe rectal bleeding for reminding this rare syndrome.
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