| Theme | Diagnosis and Treatment of Anorectal Disease | |
|---|---|---|
| Title | Clinical Features of Acute Hemorrhagic Rectal Ulcer | |
| Publish Date | 2013/10 | |
| Author | Koichi Koizumi | Department of Gastroenterology, Cancer and Infectious Disease Center Tokyo Metropolitan Komagome Hospital |
| Author | Taku Tabata | Department of Gastroenterology, Cancer and Infectious Disease Center Tokyo Metropolitan Komagome Hospital |
| Author | Go Kuwata | Department of Gastroenterology, Cancer and Infectious Disease Center Tokyo Metropolitan Komagome Hospital |
| Author | Kimiaki Hattori | Department of Gastroenterology, Cancer and Infectious Disease Center Tokyo Metropolitan Komagome Hospital |
| [ Summary ] | Acute hemorrhagic rectal ulcer (AHRU) has an important etiology related to lower gastrointestinal bleeding. The clinical features are sudden massive indolent bleeding, as observed with bed ridden elderly patients who have serious illnesses. Understanding typical clinical and endoscopic findings through careful endoscopic examination is important for accurately diagnosing AHRU. Though endoscopic haemostatic therapy is often effective for bleeding patients, additional endoscopic haemostatic therapy or IVR, surgical treatment may be recommended. Stercoral ulcer, and CMV rectal ulcer are important as differential diagnosis for AHRU. | |