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Solitary Rectal Ulcer Syndrome: A Paediatric Case Report
Marlene Abreu1, Raquel Azevedo Alves1, João Pinto2
1Pediatric Department, Local Health Unit of Matosinhos, Matosinhos, Portugal.
Introduction:
Solitary rectal ulcer syndrome (SRUS) is an uncommon benign rectal disease. Mostly young adults are affected, and it is rare in paediatric populations.
Clinical Case:
We present a 12-year-old girl with a 6-month history of tenesmus, frequent defaecation, and bloody stools with mucus. There was no previous history of constipation or other symptoms. At the first visit, physical examination and routine laboratory test results were normal. A stool examination for bacteria and parasites was negative. Colonoscopy revealed a single ulcer in the distal rectum 6 cm from the anal margin. SRUS was confirmed by biopsy. Despite conservative measures, the symptoms persisted. A defaecation proctography showed a small rectocele with no rectal mucosal prolapse. Because of its proximity to the anal sphincter, no surgical intervention was performed.
Conclusion:
The present case illustrates how difficult the management of SRUS is. Multicentre studies are needed to establish treatment protocols for children.
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