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A Case of Solitary Rectal Ulcer Syndrome

Korean Journal of Pediatrics 2004;47(8):896-899.
Published online August 15, 2004.
A Case of Solitary Rectal Ulcer Syndrome
Won Ho Hahn1, Eun Seong Kim1, Hyo Jong Kim2, Sung Ho Cha1
1Department of Pediatrics, College of Medicine, Kyunghee University, Seoul, Korea
2Department of Internal Medicine, College of Medicine, Kyunghee University, Seoul, Korea
Solitary Rectal Ulcer 증후군 1례
한원호1, 김은성1, 김효종2, 차성호1
1경희대학교 의과대학 소아과학교실
2경희대학교 의과대학 내과학교실
Correspondence: 
Sung Ho Cha, Email: tcha0319@pednet.co.kr
Abstract
Solitary rectal ulcer syndrome(SRUS) is a rare disorder in children. The incidence of SRUS is highest in young adults, and sex distribution is equal, or there may be a slight female predominance. There are few investigations about the exact incidences and effective treatment protocols of SRUS in children. The clinical symptoms and signs of SRUS are accompanied by rectal bleeding, mucous discharge, prolonged straining, tenesmus, and localized perineal pain. The time intervals between the onset of symptoms and the establishment of accurate diagnosis varied between five and seven years. It was the reason why most patients showed nonspecific symptoms and laboratory test results. We have described a 12-year-old female patient, who suffered intractable lower abdominal pain for three years, and was diagnosed as a solitary rectal ulcer syndrome by rectosigmoidoscopy.
Key Words: Child, Abdominal pain, Rectal ulcer, Gastrointestinal hemorrhage


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