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Solitary ulcer of the rectum—or is it? A report of 6 cases

✍ Scribed by G. Thomson; A. Clark; J. Handyside; G. Gillespie

Publisher
John Wiley and Sons
Year
1981
Tongue
English
Weight
448 KB
Volume
68
Category
Article
ISSN
0007-1323

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✦ Synopsis

Summary

Solitary ulcer of the rectum is an unusual disorder which presents only occasionally to the individual clinician. While the histopathological features are characteristic, the wide variety of naked eye appearances of lesions which the syndrome produces may make for clinical confusion, particularly since the lesions may be neither solitary nor ulcerated. We present here an experience of six cases which presented to the Victoria Infirmary, Glasgow, over the period 1969–79 which illustrate the diagnostic dilemma and variety of lesions encountered.

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Indirect fixation of the rectum to the anterior longitudinal ligament over the sacral promontory was performed at 146 operations for procidentia recti in a homogeneous series of 140 patients. Before fixation the rectum was widely dissected and thoroughly mobilized. The recurrence rate after follow-u