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KMID : 0387820160230010053
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Clinical Pediatric Hematology-Oncology
2016 Volume.23 No. 1 p.53 ~ p.56
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A Case of Solitary Rectal Ulcer Syndrome in a 16-year-old Girl Presented with Iron Deficiency Anemia
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Jung Sun-Hee
Kim Young-Bae
Kim Hyun-Jin
Hwang Jin-Won
Lee Sang-Heun
Jung Soo-Jin
Park Ji-Kyoung
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Abstract
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Solitary rectal ulcer syndrome (SRUS) is a rare condition that is most commonly charac-terized by rectal pain and bleeding. It can be accompanied by diarrhea or constipation, tenesmus, and rectal prolapse. Considering its non-specific symptoms, it is often difficult to diagnose, particularly in children. The underlying etiology of SRUS is not fully under-stood; however, it may be secondary to ischemic changes in the rectum associated with paradoxical contraction of the pelvic floor and external anal sphincter muscles and rectal prolapse. The macroscopic appearance of the rectal lesion may vary from hyperemia to ulceration or a polypoid lesion that can mimic carcinoma, although the histological findings are characteristic, with fibromuscular obliteration of the lamina propria and dis-orientation of muscle fibers. We report an adolescent case of SRUS developed in a 16-year-old adolescent girl who presented with iron deficiency anemia.
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KEYWORD
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Solitary rectal ulcer syndrome, Anemia, Adolescent
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