Long Term Conservative Approach in a Young Male with Solitary Rectal Ulcer Syndrome
ثبت نشده
چکیده
The solitary rectal ulcer syndrome is a rare entity commonly occurring in young patients. A young male presented with symptoms of tenesmus, passage of mucus and blood per rectum. Empirical treatment with anti amoebic therapy was not effective. Endoscopy revealed two ulcers of about 2 cm diameter located in the anterior rectal wall. The endoscopic appearance was suggestive of solitary rectal ulcer syndrome. The patient was treated with combined sucralfate and prednisolone enema for one week. This was followed with only sucralfate enema for further two weeks. Bulk laxative ispgoal husk was given with fresh yoghurt and biofeedback therapy given continuously to this patient as long term conservative approach. Follow up endoscopy revealed no ulcers after one year. So long term conservative therapy is recommended in all patients with solitary rectal ulcer syndrome.
منابع مشابه
Solitary rectal ulcer syndrome Clinicopathological Review of a Series of 19 Patients
Background and Objectives: The etiology, pathophysiology, nomenclature and clinical manifes-tation of solitary rectal ulcer syndrome (SRUS) is poorly understood. Aim: To examine the pathology of mucosal changes and clinical features of this syndrome. Materials and Methods: The mucosal biopsies of 19 pati...
متن کاملSolitary Rectal Ulcer Syndrome: A Paediatric Case Report.
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 exam...
متن کاملSolitary Rectal Ulcer Syndrome Mimicking Rectal Cancer
Solitary rectal ulcer syndrome (SRUS) is a rare benign and chronic rectal disease that has a wide spectrum of clinical presentations and variable endoscopic findings [1]. Rectal bleeding and abdominal pain are known as the main symptoms of SRUS. Usually, it is misdiagnosed through colonoscopy [2]; SRUS mimicking rectal cancer according to endoscopic findings, abdominopelvic computed tomography ...
متن کاملA rare cause of chronic rectal bleeding in children; solitary rectal ulcer: case report.
Solitary rectal ulcer causing lower gastrointestinal bleeding is extremely rare in children. Rare presentation, non-specific symptoms, insufficient experience, and characteristics mimicking other rectal diseases may cause misdiagnosis or delay of diagnosis in some pediatric patients. Here, we report a 10-year-old boy with solitary rectal ulcer diagnosed two years after onset of the symptoms who...
متن کاملHand-assisted laparoscopic suture rectopexy for complete rectal prolapse complicated by a solitary ulcer and obstructed defecation: a case report and review of the literature
INTRODUCTION Solitary rectal ulcer syndrome is a condition in which an ulcer occurs in the rectum. There is evidence that solitary rectal ulcer syndrome is associated with rectal prolapse either overt or occult and that stopping complete rectal prolapse may lead to rapid healing of the solitary rectal ulcer. A huge variety of operative techniques have been described in the literature to correct...
متن کامل