ACASE OF ACUTE HEIMORRHAGIC RECTAL ULCEIR IN YOUNG MAN

Abstract

A 14-year-old man was h, spitalized because of paraparesis caused by cervical spinal cordinjury. Since ther1, he had long been corlfined tQ a bed-ridden condition and had a sudden episode of asymptomatic rectal bleeding. Colonoscopy revealed acute hernorrhagic ulcer with irregular, geographical and circumferential features in the lower rectum. Acute hemorrhagic rectal ulcer is rare among young adults and the preserlt case is the youngest ever reportecl. The case strongly indicates tlle possibility that the reduction in the rectal mu.cosal blood flow caused by the long-standing bed-ridden condition is deeply involved in the genesis of the specific hemorrhagic u.lcerative lesion.