Massive hemorrhage from solitary rectal ulcer: toward a definitive treatment.
Two recent cases of massive bleeding from a solitary rectal ulcer which occurred in patients at The Mount Sinai Hospital are presented. This unusual complication of a poorly understood condition has been treated in the past by a variety of medical and surgical approaches; no consensus has been reached. In both cases an abdominal rectosigmoid resection was ultimately performed after local control and diversion were unsuccessful. A review of the literature and a discussion of this new approach are presented.
Binderow
S R
SR
Department of Surgery, Mount Sinai School of Medicine, New York, NY, USA.
Mayer
R
R
Freed
J S
JS
D000368:Aged; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D012002:Rectal Diseases / Q000150:complications* / Q000601:surgery; D012008:Recurrence; D014456:Ulcer / Q000150:complications / Q000601:surgery