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Solitary rectal ulcer syndrome (colitis cystica profunda) in spinal cord injury patients: 3 case reports

Published on Feb 1, 2001in Archives of Physical Medicine and Rehabilitation2.697
· DOI :10.1053/apmr.2001.16341
Feng Wang1
Estimated H-index: 1
,
James H. Frisbie15
Estimated H-index: 15
,
Michael A. Klein4
Estimated H-index: 4
Abstract
Abstract Wang F, Frisbie JH, Klein MA. Solitary rectal ulcer syndrome (colitis cystica profunda) in spinal cord injury patients: 3 case reports. Arch Phys Med Rehabil 2001;82;260-1. Clinically indicated endoscopic examinations of 56 patients with spinal cord injury (SCI) (31 for bleeding) were performed over a 3-year period, of which 3 (6%) showed solitary rectal ulcer syndrome (SRUS). The presentation was rectal bleeding or mucoid discharge. The endoscopic appearance was multiple pseudopolyps and occasional mucosal ulcers extending proximally 8 to 40cm from the anus. Mucosal biopsy specimens showed distorted mucosal glands and displaced smooth muscle fibers wrapping around the glands, the hallmark of SRUS. The affected patients had routinely used suppositories and digital stimulation for bowel care and had been paralyzed 7 to 50 years. None had rectal prolapse. These cases show that SRUS (colitis cystica profunda) can be found among patients with SCI.
  • References (8)
  • Citations (17)
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References8
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Background Solitary rectal ulcer syndrome is a rare disorder characterized by erythema or ulceration of the rectal wall, associated with typical histological features, and disturbed defaecatory behaviour with the passage of blood and mucus. Methods This is a review based on a literature search using a computer database (Medline) and manual cross-referencing. Results The pathogenesis is likely to vary in different patients; it includes trauma from straining, direct digital trauma and possibly pri...
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Introduction: Neurogenic bowel dysfunction resulting from spinal cord injury (SCI) frequently requires bowel care (BC) with stimulant suppositories for initiation of effective defecation. The excessive time required for BC and bowel complications have limited quality of life after SCI. Objective: To test the hypothesis that: the time required for bowel care with bisacodyl suppositories can be reduced by substituting a polyethylene glycol base (PGB) for the traditional hydrogenated vegetable oil ...
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