Three Cases with Acute Hemorrhagic Rectal Ulcer

Abstract

We report three patients with acute hemorrhagic rectal ulcer (AHRU) in our hospital.
Case 1 : A 61-years-old male with alcoholic liver damage and acute renal failure had massive fresh bloody stool. Colonogram showed AHRU. Local injection of hypertonic saline-epinephrine (HSE) and clip ligation failed to prevent rebleeding. Surgical ligation was done.
Case 2 : A 80-years-old male with congestive heart failure was admitted because of hematochezia. We could easily inject HSE and perfom clippig ligation by the colonoscopy capped with a transparent hood.
Case 3 : A 77-years-old female with congestive heart failure and toxic epidermalnecrolysis had hematochezia. Bleeding from AHRU was treated by clipping ligation.
It is important to perform colonoscopy considering AHRU, when we find that a patient have scarlet bloody stool without abdominal pain.