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Solitary rectal ulcer

Electron microscopy study of two cases

  • Published:
Diseases of the Colon & Rectum

Abstract

Two cases of solitary rectal ulcer syndrome occurred in an 18-year-old woman and a 24-year-old man. Each had a history of bleeding on defecation, together with constipation alternating with diarrhea. In each case, a solitary rectal ulcer was noted by sigmoidoscopy and confirmed by both light and electron microscopic evaluations of biopsy material. Both clinical and pathologic features of these cases are compatible with classic rectal ulcer syndrome, which has been suggested to result from trauma followed by an ischemic event leading to fibrosis of the mucosa. Fibrosis in these two cases was confirmed by electron microscopy.

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References

  1. Cruveilheir J. Ulcere chronique du rectum. In: Cruveilheir J, ed. Anatomic pathologique du corps humain, Vol. 2. Iivraison 25, maladies du rectum. Paris: Ballière, 1935:4.

    Google Scholar 

  2. Rutter KR. Solitary rectal ulcer syndrome. Proc R Soc Med 1975;68:22–6.

    PubMed  CAS  Google Scholar 

  3. Rutter KR, Riddell RH. The solitary ulcer syndrome of the rectum. Clin Gastroenterol 1975;4:505–30.

    PubMed  CAS  Google Scholar 

  4. Madigan MR, Morson BC. Solitary ulcer of the rectum. Gut 1969;10:871–81.

    PubMed  CAS  Google Scholar 

  5. Goligher JC. Solitary ulcer of the rectum. In: Goligher JC, Duthie HL, Nixon HM, eds. Surgery of the anus, rectum, and colon. 4th ed. London: Ballière Tindall, 1980:863.

    Google Scholar 

  6. Feczko PJ, O'Connell DJ, Riddell RH, Frank PH. Solitary rectal ulcer syndrome: radiologic manifestations. AJR 1980;135:499–506.

    PubMed  CAS  Google Scholar 

  7. Marston A. Diagnosis and management of intestinal ischaemia. Ann R Coll Surg Engl 1972;50:29–44.

    PubMed  CAS  Google Scholar 

  8. Morson BC. The pathology of ischaemic colitis. Clin Gastroenterol 1972;1:765–6.

    Google Scholar 

  9. Allen MS Jr. Hamartomatous inverted polyps of the rectum. Cancer 1966;19:257–65.

    Article  PubMed  Google Scholar 

  10. Schweiger M, Alexander-Williams J. Solitary-ulcer syndrome of the rectum: its association with occult rectal prolapse. Lancet 1977;1:170–1.

    Article  Google Scholar 

  11. Haskell B, Rovner H. Solitary ulcer of the rectum. Dis Colon Rectum 1965;8:333–6.

    Article  PubMed  CAS  Google Scholar 

  12. Epstein SE, Ascari WQ, Ablow RC, Seaman WB, Lattes R. Colitis cystica profunda. Am J Clin Pathol 1966;45:186–201.

    PubMed  CAS  Google Scholar 

  13. Eisenstat TE, Herbst J. Solitary rectal ulcer progressing to pseudocloaca: a case report. Am Surg 1979;45:57–9.

    PubMed  CAS  Google Scholar 

  14. Kennedy DK, Hughes ES, Masterton JP. The natural history of benign ulcer of the rectum. Surg Gynecol Obstet 1977;144:718–20.

    PubMed  CAS  Google Scholar 

  15. Wayte DM, Helwig EB. Colitis cystica profunda. Am J Clin Pathol 1967;48:159–69.

    Google Scholar 

  16. Jalan KN, Brunt PW, Maclean N, Sircus W. Benign solitary ulcer of the rectum: a report of 5 cases. Scand J Gastroenterol 1970;5:143–7.

    PubMed  CAS  Google Scholar 

  17. Stavorovsky M, Weintroub S, Ratan J, Rozen P. Successful treatment of a benign solitary rectal ulcer by temporary diverting sigmoidostomy: report of a case. Dis Colon Rectum 1977;20:347–50.

    PubMed  CAS  Google Scholar 

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Chanvitan, A., Nopanitaya, W. Solitary rectal ulcer. Dis Colon Rectum 29, 421–425 (1986). https://doi.org/10.1007/BF02555066

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  • DOI: https://doi.org/10.1007/BF02555066

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