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Vol. 69. Núm. 5.
Páginas 510-513 (Mayo 2001)
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Vol. 69. Núm. 5.
Páginas 510-513 (Mayo 2001)
DOI: 10.1016/S0009-739X(01)71794-0
Acceso a texto completo
Síndrome de la úlcera rectal solitaria
Solitary Rectal Ulcer Syndrome
Visitas
...
J. Rivas1
M.I. Robles*, L. Costilla*, L. Peña**, J.M. Báez***, F. Garrido****
* Servicio de Cirugía B
** Servicio de Medicina Interna (Sección de Aparato Digestivo)
*** Servicio de Anatomía Patológica
**** Jefe de Servicio de Cirugía. Hospital Universitario de Puerto Real. Cádiz
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Resumen

Presentamos el caso de una paciente, quien, tras haber sufrido un cuadro de anorexia, presentaba pérdida importante de peso y deposiciones mucosanguinolentas, de un año de evolución. Los signos clínicos, morfológicos y especialmente histopatológicos son compatibles con el denominado “síndrome de la úlcera rectal solitaria”, cuadro que se corresponde con un grupo de enfermedades que con diferentes denominaciones presentan similitud en el complejo clínico y cuyo diagnóstico es anatomopatológico. La buena respuesta al tratamiento quirúrgico, 3 años después de la intervención, nos permite considerarlo una alternativa eficaz al tratamiento conservador cuando con éste no se obtenga la respuesta deseada.

Palabras clave:
Úlcera rectal
Diagnóstico
Tratamiento

We present the case of an anorexic female patient who presented with considerable weight loss and the presence of blood and mucus in the stools of 1 year’s evolution. Clinical, morphological and histopathological features were compatible with solitary rectal ulcer syndrome. This syndrome encompasses a group of diseases characterized by similar clinical features, and its diagnosis is based on histopathological features. The patient responded well to surgical treatment. Thus, in our view, surgery is a good alternative in the patients who do not respond satisfactorily to conservative treatment.

Key words:
Rectal ulcer
Diagnosis
Treatment
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