Abstract
A case of acute hemorrhagic rectal ulcer without rectal massive bleeding is reported. A patient, 85 years old female, was admitted to our hospital because of anal pain and diarrhea. Sigmoidoscopy showed multiple geographical and round ulcers which were localized to the terminal rectum just proximal to the dentate line. The endoscopic findings were very similar to those of acute hemorrhagic rectal ulcer. However, the patient had no rectal bleeding during the clinical course. As the general condition of the patient became better, rectal ulcer was almost scarred.