All issues > Volume 47(8); 2004

Case Report

Korean J Pediatr. 2004;47(8):896-899. Published online August 15, 2004.

A Case of Solitary Rectal Ulcer Syndrome

Won Ho WH Hahn¹, Eun Seong ES Kim¹, Hyo Jong HJ Kim², Sung Ho SH Cha¹

¹Department of Pediatrics, College of Medicine, Kyunghee University, Seoul, Korea
²Department of Internal Medicine, College of Medicine, Kyunghee University, Seoul, Korea

Correspondence Sung Ho SH 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.

Keywords :Child, Abdominal pain, Rectal ulcer, Gastrointestinal hemorrhage