The solitary rectal ulcer syndrome is a rare disorder that occurs through the rectum when straining during bowel movements, a feeling of incomplete evacuation, and sometimes the passage of blood and mucus. It is probably caused by a local ischemic injury of the distal rectal mucosa. The diagnosis is made clinically and confirmed by means of a flexible sigmoidoscopy and biopsy. The treatment consists in mild cases of the defecation-promoting drugs; when the cause resides in a rectal prolapse, but sometimes a surgical procedure may be required.

(See also Clarification of Anorektalkrankheiten.)

The solitary rectal ulcer syndrome is a rare disorder that occurs through the rectum when straining during bowel movements, a feeling of incomplete evacuation, and sometimes the passage of blood and mucus. It is probably caused by a local ischemic injury of the distal rectal mucosa. The diagnosis is made clinically and confirmed by means of a flexible sigmoidoscopy and biopsy. The treatment consists in mild cases of the defecation-promoting drugs; when the cause resides in a rectal prolapse, but sometimes a surgical procedure may be required. (See also the clarification of Anorektalkrankheiten.) The solitary rectal ulcer syndrome is caused by a mucosal ischemia of the distal rectal mucosa as a result of trauma. Causes include: rectal prolapse paradox contraction of puborectalis Chronic constipation attempt a manual bowel evacuation of hard stools symptoms and complaints Affected patients pressing during stool, have a sense of incomplete evacuation, or filled the basin, and sometimes it comes to the passage of blood and mucus through the rectum. The name of the syndrome is unfavored because the associated lesions may not occur ulcerated single or multiple and ulcerated or; they can act as mucosal erythema over ulcers to small lesions. The lesions usually occur in the anterior rectal wall in the first 10 cm from the anal margin seen on out. Tips and risks The term solitary rectal ulcer syndrome is unfavored because the associated lesions may not occur ulcerated single or multiple and ulcerated or; they can act as mucosal erythema over ulcers to small lesions. Diagnosis Clinical Investigation Flexible sigmoidoscopy with biopsy The diagnosis of solitary rectal ulcer syndrome may be made solely on the basis of medical history mostly for confirmation but a flexible sigmoidoscopy is occasionally performed with biopsy. The inner or complete rectal prolapse should be assessed (see diagnosis of rectal prolapse). In the histopathological examination of a biopsy sample can be seen a thickened mucosal layer with displacement of the crypt architecture and replacement of the lamina propria by smooth muscle cells and collagen; this leads to hypertrophy and disorganization of the muscularis mucosa. Therapy bulk laxatives if necessary surgery for rectal prolapse Mild cases are treated with reassurance and with the defecation-promoting bulk laxatives to solve the chronic constipation. Is a causative rectal prolapse, surgery may be required (treatment of victory of the rectal prolapse).

Health Life Media Team

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