the Gastrolab Endoscopy Quiz of the Month - Old Quizes and Answers: October 2003

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The Old Endoscopy Quiz (and Answer) of the Month
October 2003

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Question:

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This middle aged lady came to a colonoscopy . For many years she had suffered from obstipation och in the last year she had experienced a slight dull pain in her lower abdomen. The colonoscopy was normal except for this finding in the middle part of her rectum. Multiple biopsies showed no malignancy. What is this typical disease not always so easy to cure?

Answer

    A Solitary Rectal Ulcer

    The features of the Solitary Rectal Ulcer Syndrome are multiple or single ulcers sometimes resembling a rectal cancer. The causes of this syndrome is thought to be an internal rectal prolapse and constipation. The main symtoms are lower abdominal pain and blood in the stools. The treatment is that of treating constipation with bulk laxatives and by avoiding straining during defecation. Sometimes a rectal prolapse can be treated surgically.

Answers and comments were emailed by

    Katherine, Austin, tx, USA
    Lorna Kirkham, Milton Keynes, U.K.
    Reuben Jackson, Sydney, Australia
    Hurler, Ulrike, eidenheim,Germany
    cuartas, Augusta, USA
    DARIO GAMBACCINI, LIVORNO, ITALY
    PARABOLI SILVA, Marcio Luiz , SAO JOSE DO RIO PRETO, SAO PAULO - BRAZIL
    Diego Aponte, Bogota, Colombia
    J. Cannella, Omaha, USA
    Paraboli Silva, ML, Sao Jose do Rio Preto, Sao Paulo

Pigeon Rocks, Beirut, Lebanon
    Elie Choueiry, Beirut, Lebabnon
    Cuartas, Augusta, USA
    ... and several more - lost due to the some probably worldwide email problems in the beginning of October.

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