Solitary rectal ulcer simulating colorectal cancer and Crohn’s disease: Case report

Case report

Authors

DOI:

https://doi.org/10.22516/25007440.660

Keywords:

Rectal diseases, Gastrointestinal hemorrhage, colonic diseases

Abstract

Solitary rectal ulcer is a rare condition of benign nature that must be differentiated from other disorders with defined pathophysiological mechanisms and varied symptoms. The following is the case of a 31-year-old female patient with no relevant history, who consulted our institution due to symptoms of rectal bleeding associated with episodes of diarrhea for three years, who received multiple diagnoses.

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Author Biographies

Rómulo Darío Vargas Rubio, Hospital Universitario San Ignacio

Especialista en gastroenterología y endoscopia digestiva. Jefe de Unidad gastroenterología del Hospital Universitario San Ignacio. Pontificia Universidad Javeriana, Bogotá

Oscar Alberto Messa, Hospital Universitario San Ignacio

Medico Patólogo Oncólogo del Hospital Universitario San Ignacio. Profesor Pontificia Universidad Javeriana. Bogotá

Karen Lizeth Alvarez, Hospital Universitario San Ignacio

Medico Residente de Medicina Interna de la Pontificia Universidad Javeriana, Medico Residente Hospital Universitario San Ignacio, Bogotá

Diana Magoe Meza Madrid, Hospital Universitario San Ignacio

Medica especialista Medicina Interna Universidad Nacional Autonoma de Honduras. Medico Residente de Gastroenterologia de la Pontificia Universidad Javeriana. Bogotá, Colombia

References

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Madigan MR, Morson BC. Solitary ulcer of the rectum. Gut. 1969;10(11):871-81. https://doi.org/10.1136/gut.10.11.871

Zhu QC, Shen RR, Qin HL, Wang Y. Solitary rectal ulcer syndrome: clinical features, pathophysiology, diagnosis and treatment strategies. World J Gastroenterol. 2014;20(3):738-44. https://doi.org/10.3748/wjg.v20.i3.738

Forootan M, Darvishi M. Solitary rectal ulcer syndrome: A systematic review. Medicine (Baltimore). 2018;97(18):e0565. https://doi.org/10.1097/MD.0000000000010565

Ong J, Lim KH, Lim JF, Eu KW. Solitary caecal ulcer syndrome: our experience with this benign condition. Colorectal Dis. 2011;13(7):786-90. https://doi.org/10.1111/j.1463-1318.2010.02261.x

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AlGhulayqah AI, Abu-Farhaneh EH, AlSohaibani FI, Almadi MA, AlMana HM. Solitary rectal ulcer syndrome: A single-center case series. Saudi J Gastroenterol. 2016;22(6):456-460. https://doi.org/10.4103/1319-3767.195555

Gopal DV, Young C, Katon RM. Solitary rectal ulcer syndrome presenting with rectal prolapse, severe mucorrhea and eroded polypoid hyperplasia: case report and review of the literature. Can J Gastroenterol. 2001;15(7):479-83. https://doi.org/10.1155/2001/145041

Torres C, Khaikin M, Bracho J, Luo CH, Weiss EG, Sands DR, et al. Solitary rectal ulcer syndrome: clinical findings, surgical treatment, and outcomes. Int J Colorectal Dis. 2007;22(11):1389-93. https://doi.org/10.1007/s00384-007-0344-5

Keshtgar AS, Ward HC, Sanei A, Clayden GS. Botulinum toxin, a new treatment modality for chronic idiopathic constipation in children: long-term follow-up of a double-blind randomized trial. J Pediatr Surg. 2007;42(4):672-80. https://doi.org/10.1016/j.jpedsurg.2006.12.045

Figura 2. Colonoscopia de marzo de 2017

Published

2021-06-29

How to Cite

Vargas Rubio, R. D., Messa, O. A., Alvarez, K. L., & Meza Madrid, D. M. (2021). Solitary rectal ulcer simulating colorectal cancer and Crohn’s disease: Case report: Case report. Revista Colombiana De Gastroenterología, 36(2), 280–283. https://doi.org/10.22516/25007440.660

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Case report

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