SOLITARY ULCER SYNDROME OF THE RECTUM REPORT OF 3 CASES

Abstract

Recently, 3 cases (2 males of 17 and 13 of age, 1 female of 15 of age) of solitary ulcer syndrome of the rectum were experienced by us. This disease was proposed as a disease entity by Madigan and Morson in 1969. In Japan, it remains an uncommon disease. All the 3 cases had a chief complaint of frequent muco bloody stools. Endoscopically, the lesions mainly evevated existed within the extent of 10 cm from the anal verge. None of these findings were obvious on x-ray examination. Histologically, a characteristic finding of f ibromuscular obliteration was obtained. The disease period was one year in one, 7 years in other two cases to whom treatment for ulcerative colitis has been given. Since this disease is refractory to treatment, it is important for physicians to recognize this and to provide an appropreate symptomatic treatment, and to educate patients about the features of the disesae.