A Case of a Polypoid Solitary Rectal Ulcer Syndrome with Rectal Prolapse

탈항을 동반한 용종성 고립성 직장 궤양 증후군 1예

  • Kang, Jeong-Sic (Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Park, Hyun-Ju (Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Song, Tae-Won (Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Nam-Hee (Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Hwang, Jong-Hee (Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Dong-Wook (Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Lee, Chong-Guk (Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Kim, Han-Seong (Department of Pathology, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Moon, Jin-Soo (Department of Pediatrics, Ilsan Paik Hospital, Inje University College of Medicine)
  • 강정식 (인제대학교 의과대학 일산백병원 소아과학교실) ;
  • 박현주 (인제대학교 의과대학 일산백병원 소아과학교실) ;
  • 송태원 (인제대학교 의과대학 일산백병원 소아과학교실) ;
  • 김남희 (인제대학교 의과대학 일산백병원 소아과학교실) ;
  • 황종희 (인제대학교 의과대학 일산백병원 소아과학교실) ;
  • 김동욱 (인제대학교 의과대학 일산백병원 소아과학교실) ;
  • 이종국 (인제대학교 의과대학 일산백병원 소아과학교실) ;
  • 김한성 (인제대학교 의과대학 일산백병원 병리학교실) ;
  • 문진수 (인제대학교 의과대학 일산백병원 소아과학교실)
  • Received : 2009.01.30
  • Accepted : 2009.03.06
  • Published : 2009.03.30

Abstract

Solitary rectal ulcer syndrome (SRUS) is a rare disorder in children. There are few investigations about the exact incidence and effective treatment of SRUS in children. We describe a 12-year-old male patient who had rectal prolapse for 9 years, hematochezia for 7 months, and was diagnosed with polypoid solitary rectal ulcer syndrome with rectal prolapse by colonoscopy. Anorectal manometry was also performed to evaluate the cause of frequent relapses.

고립성 직장 궤양 증후군은 흔치 않은 만성 질환으로 소아의 경우에는 보고가 드물며, 대장 내시경과 조직검사를 통해 진단할 수 있다. 저자들은 직장 탈항과 배변 시 점액성 혈변을 주소로 내원한 12세 남아에서 대장 내시경과 병리학적 진단, 항문 직장 내압 검사로 고립성 직장 궤양 증후군으로 진단하여 보고하는 바이다.

Keywords

References

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