Solitary rectal ulcer syndrome: findings at barium enema study and defecography.
- 1 August 1988
- journal article
- research article
- Published by Radiological Society of North America (RSNA) in Radiology
- Vol. 168 (2) , 303-306
- https://doi.org/10.1148/radiology.168.2.3393650
Abstract
Sixteen cases of histopathologically proven solitary rectal ulcer syndrome were encountered. Fifteen patients underwent barium enema study in nine cases the findings-including rectal stricture, granularity of the mucosa, and thickened rectal folds-were nonspecific. In six cases the study was normal. All patients had a long history of defecation disorders, and defecography was performed in all. In seven cases, intussusception of the rectal wall was seen; in another case the intussusception was accompanied by a rectocele. One case showed rectal prolapse. In four cases, failed relaxation of the puborectalis occurred and prevented the passage of the bolus; in another case there was abnormal perineal descent. In two patients studies were normal. In patients with defecation disorders, the possibility of this syndrome should be considered. Defecography is the method of choice for establishing the diagnosis.This publication has 9 references indexed in Scilit:
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