Traumatic Solitary Rectal Ulcer in Saudi Arabia

“…Rare causes of lower gastrointestinal bleeding described in the literature include right-sided colonic angiodysplasia, 12 solitary rectal ulcer, 13 Dieulafoy's lesions, 14 local rectal trauma, 15,16 and trauma following manual evacuation. 13 All these cases have specific abnormalities on the angiogram, but to our knowledge this is the first reported case in the literature of multiple isolated rectal microaneurysms.…”

Section: Discussionmentioning

confidence: 99%

Multiple Microaneurysms of the Superior Hemorrhoidal Artery: Unusual Recurrent Massive Rectal Bleeding

Baig

Lewis²,

Stebbing³

et al. 2003

Diseases of the Colon &Amp; Rectum

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“…The underlying cause of this condition is uncertain although it has been linked to local rectal trauma [13,14]. Similarly, rectal picking in children with Prader-Willi syndrome can lead to significant rectal bleeding [15].…”

Section: Discussionmentioning

confidence: 99%

Treatment of rectal hemorrhage by coil embolization

Dobson

Nicholson

1999

Cardiovasc Intervent Radiol

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Four patients, aged 54-84 years, presenting with life-threatening rectal bleeding from the superior hemorrhoidal artery, underwent percutaneous fibered platinum coil embolization via coaxial catheters. Pre-procedure sigmoidoscopy had failed to identify the source of hemorrhage, because the rectum was filled with fresh blood. Embolization was technically and clinically successful in all four patients. Subsequent sigmoidoscopy confirmed the diagnoses in three patients as a solitary rectal ulcer, iatrogenic traumatic ulceration following manual evacuation, and a rectal Dieulafoy's lesion. The other case was angiographically seen to be due to a rectal angiodysplasia. Embolization is an effective procedure in life-threatening superior hemorrhoidal arterial bleeding when endoscopic treatment fails, and should be preferred to rectosigmoid resection.

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Traumatic Solitary Rectal Ulcer in Saudi Arabia

Cited by 19 publications

References 0 publications

Solitary rectal ulcer syndrome

Solitary rectal ulcer syndrome

Multiple Microaneurysms of the Superior Hemorrhoidal Artery: Unusual Recurrent Massive Rectal Bleeding

Treatment of rectal hemorrhage by coil embolization

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