Solitary rectal ulcer syndrome in children. A report of three cases.

Published on Jun 1, 2005in European Journal of Pediatric Surgery1.703
· DOI :10.1055/S-2004-821180
H. O. S. Gabra2
Estimated H-index: 2
(Boston Children's Hospital),
J. P. Roberts1
Estimated H-index: 1
+ 1 AuthorsR. N. Shawis1
Estimated H-index: 1
Solitary rectal ulcer syndrome (SRUS) is a rare condition in children. It is well recognised in the adult literature. We report our experience with 3 patients; two boys presented at a very young age (18 and 24 months, respectively) with a clinical picture simulating inflammatory bowel diseases. The other patient was a fifteen-year-old girl presenting with severe rectal stricture as a result of the syndrome, which is the first to be reported in the paediatric literature. L'ulcere rectal solitaire de l'enfant (SRUS) est rare. Il est bien connu dans la litterature adulte. Nous rapportons notre experience de 3 cas; deux garcons presentaient un tres jeune âge (18 et 24 mois) avec un aspect simulant une maladie inflammatoire du tube digestif. L'autre patient etait une fille de quinze ans qui se presentait avec une stenose rectale severe comme consequence du syndrome, ce qui est le premier cas rapporte dans la litterature pediatrique. El sindrome de ulcera rectal solitaria (SRUS) es raro en ninos aunque es bien conocido en la literatura adulta. Presentamos nuestra experiencia con tres ninos. Dos varones se presentaron muy tempranamente (18 y 24 meses respectivamente) con un cuadro clinico evocador de una enfermedad inflamatoria intestinal. El otro paciente fue una nina de 15 anos que se presento con estrechez rectal severa como resultado del sindrome que es el primero presentado en la literatura pediatrica. Das solitare Rektumulkussyndrom ist im Kindesalter auserst selten. In der Erwachsenenliteratur ist es hingegen bekannt. Im vorliegenden Fallbericht werden 3 Patienten vorgestellt. Zwei Knaben im sehr jungen Alter von 18 und 24 Monaten kamen wegen des Verdachtes auf entzundliche Darmerkrankung zur Aufnahme. Der 3. Patient war ein 15 Jahre altes Madchen mit einer schweren Rektumstenose als Folge des Ulkussyndroms. Diese Komplikation wird erstmalig in der padiatrischen Literatur beschrieben.
📖 Papers frequently viewed together
122 Citations
17 Citations
315 Citations
Cited By14
Background: Solitary Rectal Ulcer Syndrome (SRUS) was a relatively uncommon and easily misdiagnosed clinical entity in children. The diagnosis of this condition was often delayed due to lack of clinical suspicion. Only case series were available and no definitive treatment was postulated. Here, we share our experience of SRUS in our institute and reviewed the literature published so far. Aim: To study the clinical profile and treatment response of Solitary Rectal ulcer Syndrome in Children (SRUS...
Constipation is a common problem in the pediatric age group and accounts for approximately 5% of visits to pediatricians’ offices. More severe forms of constipation are seen in a smaller percentage of children, and these young patients are often referred to a pediatric gastroenterologist for continued management. Despite the use of laxatives, stool softeners, behavioral modification, and diet management, a small percentage of that group develops debilitating symptoms that can be associated with ...
#1Mojgan Forootan (Shahid Beheshti University of Medical Sciences and Health Services)H-Index: 5
#2Mohammad Darvishi (Aja University of Medical Sciences)H-Index: 12
AbstractBackground:Solitary rectal ulcer (SRUS) may mislead the inflammatory bowel disease (IBD) or rectal polyps, which may reduce the actual prevalence of it. Various treatments for SRUS have been described that can be referred to therapeutic strategies such as biofeedback, enema of corticosteroid
13 CitationsSource
#1Bita Geramizadeh (Shiraz University of Medical Sciences)H-Index: 26
Last. Arezoo Jahanshani AfsharH-Index: 1
view all 3 authors...
Context: Solitary rectal ulcer (SRU) is a disease with many challenging issues. There are several controversies about the basic pathophysiology of this disease. Despite its name, “solitary rectal ulcer”, more than a quarter of patients do not show any ulcer in colonoscopy. Instead, many patients show multiple polypoid lesions. Some previous reports have suggested calling this disease “rectal mucosal prolapse” instead of SRU, however, most of the patients do not have mucosal prolapse. In addition...
4 CitationsSource
#1Nafiye UrgancH-Index: 1
#2Derya KalyoncuH-Index: 8
Last. Kamile Gulcin EkenH-Index: 2
view all 4 authors...
AbstractSolitary rectal ulcer syndrome is a rare benign disorder in children which often goes unrecognized or easily misdiagnosed with other common diseases. It usually presents with rectal bleeding, constipation, mucous discharge, prolonged straining, tenesmus, and lower abdominal pain. The rectal
4 CitationsSource
#1Nafiye UrganciH-Index: 16
#2Derya KalyoncuH-Index: 8
Last. Kamile Gulcin EkenH-Index: 2
view all 3 authors...
Solitary rectal ulcer syndrome (SRUS) is a rare, benign disorder in children that usually presents with rectal bleeding, constipation, mucous discharge, prolonged straining, tenesmus, lower abdominal pain, and localized pain in the perineal area. The underlying etiology is not well understood, but it is secondary to ischemic changes and trauma in the rectum associated with paradoxical contraction of the pelvic floor and the external anal sphincter muscles; rectal prolapse has also been implicate...
9 CitationsSource
#1Seyed Mohsen Dehghani (Shiraz University of Medical Sciences)H-Index: 19
Last. Mahmood HaghighatH-Index: 18
view all 3 authors...
Solitary rectal ulcer syndrome (SRUS) is a benign and chronic disorder well known in young adults and less in children. It is often related to prolonged excessive straining or abnormal defecation and clinically presents as rectal bleeding, copious mucus discharge, feeling of incomplete defecation, and rarely rectal prolapse. SRUS is diagnosed based on clinical symptoms and endoscopic and histological findings. The current treatments are suboptimal, and despite correct diagnosis, outcomes can be ...
24 CitationsSource
4 CitationsSource
#1Tariq O. Abbas (Hamad Medical Corporation)H-Index: 5
#2Adel IsmailH-Index: 6
Last. Ammar Rikabi (Hamad Medical Corporation)H-Index: 4
view all 5 authors...
Solitary rectal ulcer syndrome is common in adults; however, it is thought to be rare in children. The etiology and exact pathogenesis of this condition are poorly understood. The main presenting feature of solitary rectal ulcer syndrome is rectal bleeding, but the clinical diagnosis and treatment remain challenging, particularly in pediatric patients. We present two pediatric patients with solitary rectal ulcer syndrome, who were treated surgically, and remain asymptomatic after the procedures....
3 CitationsSource