Kestemberg A, Mariño G, de Lima E, Garcia F T, Carrascal E, Arredondo J L
Hospital Universitario del Valle, Universidad del Valle, Cali, Colombia.
Int J Colorectal Dis. 1993 Mar;8(1):9-12. doi: 10.1007/BF00341269.
We report the case of a 9-year-old boy who presented with chronic rectal bleeding. On proctosigmoidoscopy, a polypoid elevation in the rectal ampulla measuring 5 x 3 cm was found. Biopsies were reported to show gastric mucosa. The Giemsa stain showed Helicobacter pylori-like organisms. Including our patient, there are now 30 similar cases reported in the medical literature. The usual manifestations of this rare entity are chronic bleeding and rectal pain. In one-half of cases there is chronic rectal ulceration. The recommended treatment is transanal surgical resection unless there is rectal peptic ulceration. H2 receptor blockers are then advised. Surgical excision is carried out after healing has taken place.
我们报告了一名9岁男孩慢性直肠出血的病例。在直肠乙状结肠镜检查中，发现直肠壶腹有一个大小为5×3厘米的息肉样隆起。活检报告显示为胃黏膜。吉姆萨染色显示有幽门螺杆菌样微生物。包括我们的患者在内，医学文献中现已报道了30例类似病例。这种罕见病症的常见表现为慢性出血和直肠疼痛。半数病例存在慢性直肠溃疡。推荐的治疗方法是经肛门手术切除，除非存在直肠消化性溃疡，此时建议使用H2受体阻滞剂。在溃疡愈合后进行手术切除。
