Solitary Rectal Ulcer Syndrome in Children: A Report of Six Cases
A 12-year-old boy was referred to our pediatric gastroenterology unit for evaluation of a 6-year history of constipation and bloody stool. His physical and laboratory examinations were normal. Colonoscopy revealed solitary lesion 1×5 cm in diameter located at 5 to 10 cm from the anal verge with circumferential distribution. Combined oral and enema treatment with mesalazin was initiated. Because of the failure to achieve clinical improvement in 6 months, second colonoscopy was performed and revealed no significant endoscopic improvement. Therefore, steroid enema (Entocort enema, Prednol-L ampoule, Mustafa Nevzat, Turkey) was used additionally (once a day for 6 months). He responded well to the treatment and his symptoms completely resolved. He is currently being followed with oral mesalazin (during last 1 year).