Solitary Rectal Ulcer Syndrome in Children: A Report of Six Cases
A 12-year-old boy with hypogammaglobulinemia was referred to our clinic for evaluation of a 1-year history of rectal bleeding. His physical examination was unremarkable except for pallor. He had anemia (hemoglobin [Hb], 10 g/L). Colonoscopy revealed solitary lesion 1×1 cm in diameter located between 6 and 9 o'clock in the rectum. Combined oral and enema treatment with mesalazin was initiated. No improvement was observed in his symptoms and follow-up colonoscopy showed no change in the lesion. In addition to ongoing therapy, steroid enema and treatment for constipation was initiated. He used rectal mesalazin and steroid during 1 year. His symptoms had completely resolved and he is currently being followed with no treatment.