K C S, Sharma S, Basnet B, Mishra A K
Liver Unit, National Academy of Medical Sciences, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2008 Oct-Dec;47(172):238-40.
Rectal polyp and hemorrhoids are common causes of bleeding per rectum in pediatric age group. However, there are some other causes which should be considered in differential diagnosis. We have acquainted a case of rectal bleeding due to solitary rectal ulcer in a child of 10 year. Colonoscopic examination was required for diagnosis as proctoscopic examination and digital rectal examination missed the diagnosis, probably due to poor co-operation by the patient and rare nature of the disease. Although well recognized in the adult population, the pediatric experience with this condition is limited.
直肠息肉和痔疮是儿童年龄组直肠出血的常见原因。然而，在鉴别诊断中还应考虑一些其他原因。我们遇到了一例10岁儿童因孤立性直肠溃疡导致直肠出血的病例。由于患者配合不佳以及该疾病的罕见性，直肠镜检查和直肠指检未能确诊，因此需要进行结肠镜检查来诊断。虽然这种情况在成人中已得到充分认识，但在儿科方面的经验有限。
