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儿童慢性直肠出血的罕见原因;孤立性直肠溃疡:病例报告

A rare cause of chronic rectal bleeding in children; solitary rectal ulcer: case report.

作者信息

Temiz Abdulkerim, Tander Burak, Temiz Muhyittin, Barış Sancar, Arıtürk Ender

机构信息

Department of Pediatric Surgery, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey.

出版信息

Ulus Travma Acil Cerrahi Derg. 2011 Mar;17(2):173-6.

Abstract

Solitary rectal ulcer causing lower gastrointestinal bleeding is extremely rare in children. Rare presentation, non-specific symptoms, insufficient experience, and characteristics mimicking other rectal diseases may cause misdiagnosis or delay of diagnosis in some pediatric patients. Here, we report a 10-year-old boy with solitary rectal ulcer diagnosed two years after onset of the symptoms who responded well to the conservative therapy, including high-fiber diet, laxatives, defecation training, and sucralfate enema.

摘要

孤立性直肠溃疡导致小儿下消化道出血极为罕见。表现罕见、症状不具特异性、经验不足以及具有与其他直肠疾病相似的特征,可能会导致部分儿科患者误诊或诊断延误。在此,我们报告一名10岁男孩,其症状出现两年后被诊断为孤立性直肠溃疡,对包括高纤维饮食、泻药、排便训练和硫糖铝灌肠在内的保守治疗反应良好。

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