Solitary rectal ulcer syndrome: a case series.
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.
Suresh
N
N
Kanchi Kamakoti CHILDS Trust Hospital, Nungambakkam, Chennai 600 034, India. drsuresh30@rediffmail.com
Ganesh
R
R
Sathiyasekaran
Malathi
M
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003113:Colonoscopy; D005260:Female; D006651:Histocytochemistry; D006801:Humans; D007223:Infant; D008297:Male; D012002:Rectal Diseases / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D012189:Retrospective Studies; D014456:Ulcer / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*