2000 Volume 57 Issue 2 Pages 122-123
We report our experience with four cases of acute hemorrhagic rectal ulcer in recent years. The patients included three men and a woman. Age of the patients ranged from 76 to 86. All of them had some serious underlying disorder, including cerebral vascular disease, senile dementia, renal failure, respiratory failure and myelodysplastic syndrome. They complained of sudden fresh bloody stool without abdominal pain. Emergency colonoscopic examination revealed rectal ulcer localized in the lower rectum in all cases. Two patients were cured of anal bleeding with treatment in the lateral position. The others required treatment to stop bleeding, for example endoscopic hemostasis. Emergency colonoscopic examination is necessary for the diagnosis and rational treatment of acute hemorrhagic rectal ulcers.
