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Inicio Cirugía Española (English Edition) Solitary Rectal Ulcer in a Patient With Rectal Prolapse
Journal Information
Vol. 96. Issue 4.
Pages 234 (April 2018)
Vol. 96. Issue 4.
Pages 234 (April 2018)
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DOI: 10.1016/j.cireng.2017.12.002
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Solitary Rectal Ulcer in a Patient With Rectal Prolapse
Úlcera rectal solitaria en paciente con prolapso rectal
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Inmaculada Torrijo Gómeza,
Corresponding author
inmatorrijog@gmail.com

Corresponding author.
, Zutoia Balciscueta Coltella, Josefina Sanjuan Jiménezb, Natalia Uribe Quintanaa
a Servicio de Cirugía General y del Aparato Digestivo, Hospital Arnau de Vilanova, Valencia, Spain
b Servicio de Anatomía Patológica, Hospital Arnau de Vilanova, Valencia, Spain
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The patient is an 86-year-old female with multiple comorbidities, c with dementia, institutionalized, with multiple emergency visits due to irreducible rectal prolapse.

She was scheduled for a Delorme's procedure with spinal anesthesia. During the surgical exploration, an indurated area of raised and starred borders on the anterior face of the rectum, near the apex of the prolapse was found, suspicious for solitary rectal ulcer, although the differential diagnosis with neoplasia had to be made (Fig. 1).

Fig. 1
(0.11MB).

The evolution was satisfactory with discharge on the second postoperative day. The pathological analysis confirmed the diagnosis of solitary rectal ulcer, identifying an ulcer with granulation tissue (a), edema (b) and fibrosis in the lamina propia (c) (Fig. 2).

Fig. 2
(0.24MB).

Please cite this article as: Torrijo Gómez I, Balciscueta Coltell Z, Sanjuan Jiménez J, Uribe Quintana N. Úlcera rectal solitaria en paciente con prolapso rectal. Cir Esp. 2018;96:234.

Copyright © 2017. AEC
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