A rare and often unrecognized cause of hematochezia and tenesmus in childhood: Solitary rectal ulcer syndrome

Ertem D. , Acar Y., Karaa E., Pehlivanoglu E.

PEDIATRICS, vol.110, no.6, 2002 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 110 Issue: 6
  • Publication Date: 2002
  • Doi Number: 10.1542/peds.110.6.e79
  • Title of Journal : PEDIATRICS


Solitary rectal ulcer syndrome (SRUS) is an unusual disorder of childhood, which usually presents with rectal bleeding, mucous discharge, prolonged straining, tenesmus, and localized pain in the perineal area. After the first description by Cruveilhier, Madigan and Morson further detailed the clinical and pathologic features of SRUS in 1969. The pathogenesis of the syndrome is not well-understood. The postulated mechanism responsible for rectal prolapse in most cases seems to be excessive straining efforts during which high intra-abdominal pressure forces the anterior rectal mucosa firmly into the contracting puborectalis muscle. The anterior rectal mucosa is frequently forced into the anal canal and as a consequence becomes strangulated, causing congestion, edema, and ulceration.