What is Stercoral ulcer?
Stercoral ulceration is the loss of bowel integrity from the pressure effects of inspissated feces. The lesion usually occurs in constipated, bedridden patients and presents as an isolated lesion in the rectosigmoid area.
What does SRUS mean?
Introduction. Solitary rectal ulcer syndrome (SRUS) is a rare benign and chronic rectal disease that has a wide spectrum of clinical presentations and variable endoscopic findings [1]. Rectal bleeding and abdominal pain are known as the main symptoms of SRUS.
What causes SRUS?
SRUS is often caused by chronic constipation, which can be associated with straining during defecation, rectal bleeding, tenesmus, mucoid secretion from the rectum, rectal pain, and a sense of incomplete evacuation.
Is stercoral colitis painful?
Per published reports, the usual presentation of stercoral colitis complicated with ischemic colitis is the colicky abdominal pain, which may be diffuse or localized in a patient with a history of chronic constipation.
Can SRUS be cured?
Several treatment options have been used for SRUS, ranging from conservative treatment (i.e., diet and bulking agents), medical therapy, biofeedback and surgery (Figure 2). The choice of treatment depends upon the severity of symptoms and whether there is a rectal prolapse.
What is SRUS in colon?
Solitary rectal ulcer syndrome is a condition that occurs when one or more open sores (ulcers) develop in the rectum. The rectum is a muscular tube connected to the end of your colon. Stool passes through the rectum on its way out of the body.
How do you treat stercoral colitis?
More than 50% of stercoral colitis patients can be managed with disimpaction and bowel regimen, whereas those with severe complications and concern for bowel perforation, and peritonitis may require prompt surgical treatment such as colectomy, hemicolectomy, or sigmoidectomy [5,8].
Is SRUS serious?
Solitary rectal ulcer syndrome (SRUS) is an uncommon benign disease, characterized by a combination of symptoms, clinical findings and histological abnormalities.
Can ulcers in the rectum be cancerous?
Rectal ulcers are usually benign (harmless) and don’t cause long-term medical problems.
What is stercoral colitis symptoms?
Symptoms of stercoral colitis include abdominal discomfort, cramps, and fever. On exam, patients typically have diffuse abdominal tenderness to palpation and abdominal distension.
Are hemorrhoids and ulcers related?
In young and middle-aged persons, bleeding from the anus is most commonly caused by haemorrhoids (piles) or an ulcer in the anal area. Ulcers usually result from mechanical damage. In a person with constipation, the stool mass is hard and stretches the anus, which results in cracks in the thin anal mucosa.
What is a Stercoral ulcer?
Stercoral ulcers are wounds on the colon wall that can cause intense pain, rectal bleeding, and other symptoms. As mentioned previously, stercoral ulcers are ulcers located on the intestinal wall of the colon.
What is the mortality and morbidity associated with Stercoral ulcer perforation?
Stercoral ulcer perforation is associated with a mortality rate of 35%. Stercoral ulcer perforation commonly occurs in the sigmoid colon (50%) and rectosigmoid junction (24%) 12).
How is a nonperforating Stercoral ulcer diagnosed?
The diagnosis of nonperforating stercoral ulcer is usually based on the endoscopic finding of an irregular, geographically outlined ulcer that conforms to the contour of the impacted feces.
What is stercoral colitis (stool hardening)?
Stercoral colitis is a relatively rare form of inflammatory colitis that can develop as a result of chronic constipation leading to the formation of hardened stool, known as fecaloma. Fecalomas can then lead to distention, possibly causing focal necrosis and possibly ulceration.