Stolfi V M, Bacaro D, Rossi P, Forlini A, Quintigliano D, Prisco L, Gentileschi E, Gentileschi P
Cattedra di Semeiotica Chirurgica, II Università degli Studi Tor Vergata, Roma.
G Chir. 1991 Jun-Jul;12(6-7):389-92.
Solitary ulcer of the rectum is an unusual condition occurring more often in young adults. Unfortunately the term is rather confusing, since the lesion may not necessarily be solitary, nor be confined to the rectum; moreover, it may be polypoid rather than ulcerating. The etiology is uncertain, but chronic constipation and fecal impaction could play a role. Today most authors believe solitary ulcer syndrome is a distinct clinical inflammatory manifestation associated with rectal prolapse. Surgical treatment of the prolapse is usually followed by a recovery of the solitary rectal ulcer.
直肠孤立性溃疡是一种不常见的病症,多见于年轻人。遗憾的是,这个术语相当令人困惑,因为病变不一定是孤立的,也不一定局限于直肠;此外,它可能呈息肉样而非溃疡性。病因尚不确定,但慢性便秘和粪嵌塞可能起作用。如今,大多数作者认为孤立性溃疡综合征是一种与直肠脱垂相关的独特临床炎症表现。对脱垂进行手术治疗后,直肠孤立性溃疡通常会痊愈。