Temiz Abdulkerim, Tander Burak, Temiz Muhyittin, Barış Sancar, Arıtürk Ender
Department of Pediatric Surgery, Mustafa Kemal University, Faculty of Medicine, Hatay, Turkey.
Ulus Travma Acil Cerrahi Derg. 2011 Mar;17(2):173-6.
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.
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。