Solitary rectal ulcer syndrome: a case series

Indian Pediatr. 2010 Dec;47(12):1059-61. doi: 10.1007/s13312-010-0177-0. Epub 2010 Mar 15.

Abstract

A retrospective analysis of the clinical profile, endoscopic features and management of 22 children (age 18 months-18 years) diagnosed as solitary rectal ulcer syndrome is presented. The majority (81.8%) were ≥8 years of age. Rectal bleeding was the presenting feature in all the children. Mucorrhea, constipation, tenesmus and rectal prolapse were observed in 77.3%, 63.6%, 59% and 13.6% children, respectively. Colonoscopy showed classical single rectal ulcer in 68.2% and multiple ulcers in 22.7%. Polypoidal and erosive lesions were documented in 4.5% each. The medical management comprised of bowel training and high fibre diet for all children. The other modalities included oral 5-amino salicylate (59%), sucralfate enema (4.5%) and rectal mesalamine in 9%. 64% children recovered and 13.6% had recurrence of symptoms.

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Colonoscopy
  • Female
  • Histocytochemistry
  • Humans
  • Infant
  • Male
  • Rectal Diseases / diagnosis*
  • Rectal Diseases / pathology
  • Rectal Diseases / therapy*
  • Retrospective Studies
  • Ulcer / diagnosis*
  • Ulcer / pathology
  • Ulcer / therapy*