Solitary rectal ulcer: a rare cause of gastrointestinal bleeding in an adolescent with hemophilia A.

P R Bishop, M J Nowicki, C Subramony, P H Parker

Journal: Journal of clinical gastroenterology 2001;33(1):72-6

PMID: 11418797

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Abstract

Solitary rectal ulcer syndrome (SRUS) is a rarely reported condition in children. The typical presentation is one of anorectal pain with passage of blood and mucus per rectum in the setting of defecation abnormalities. Diagnosis is made via endoscopy and biopsy. Solitary rectal ulcer syndrome alone is usually a benign condition; however, significant morbidity can occur if complicated by underlying disease states. We report an adolescent with hemophilia A and SRUS who presented with a rectal bleed that required blood transfusion.

Address: Department of Pediatrics, Division of Pediatric Gastroenterology and Nutrition, Blair E. Batson Children's Hospital, University of Mississippi Medical Center, Jackson, MS 39216, U.S.A.

DOI: 10.1097/00004836-200107000-00018

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MeSH Terms: Adolescent, Diagnosis, Differential, Gastrointestinal Hemorrhage, Hemophilia A, Humans, Intestinal Mucosa, Male, Rectal Diseases, Sigmoidoscopy, Syndrome, Ulcer