Assuntos
Dor/etiologia , Gastropatias/etiologia , Cistadenoma Seroso/complicações , Cistadenoma Seroso/patologia , Endossonografia , Feminino , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Dor/diagnóstico por imagem , Dor/patologia , Neoplasias Pancreáticas/complicações , Neoplasias Pancreáticas/patologia , Gastropatias/diagnóstico por imagem , Gastropatias/patologiaRESUMO
No disponible
Assuntos
Humanos , Masculino , Idoso , Transtornos de Deglutição/etiologia , Esôfago/cirurgia , Cabelo , Faringostomia , Retalhos Cirúrgicos/efeitos adversos , Procedimentos de Cirurgia Plástica/efeitos adversosRESUMO
El síndrome de la úlcera rectal solitaria es una entidad benignapoco común cuyos síntomas más frecuentes son la rectorragia y eldolor anal. Los hallazgos anatomopatológicos son típicos. Se sueleevidenciar engrosamiento de la mucosa, elongación y distorsiónde las glándulas, una lámina propia edematosa con gran cantidadde colágena y engrosamiento de la muscularis mucosae. El diagnósticose realiza mediante endoscopia con toma de biopsias. Nosiempre se trata de lesiones ulceradas. Se suele localizar preferentementeen la cara rectal anterior y/o lateral, aunque hasta un30% de las lesiones son múltiples, existiendo casos de afectacióndel colon sigmoide y descendente. Por tanto, la presentación puedeser heterogénea y este es el motivo por el que esta entidad estambién conocida como la enfermedad de las tres mentiras.Presentamos un caso de síndrome de la ulcera rectal solitaria manifestadoendoscópicamente como una placa eritematosa localizadaen la cara lateral izquierda del recto
Solitary rectal ulcer syndrome is an uncommon benign conditioncharacterized by rectal bleeding, passage of mucus, and pain.Histological features are well established as obliteration of thelamina propria by fibrosis and smooth-muscle fibers extendingfrom a thickened muscularis mucosa to the lumen. Diagnosis canusually be made on sigmoidoscopy, and biopsies should always betaken. Ulceration is not universally present, and polypoid, non-ulceratedlesions and erythematous areas are also seen. The lesionor lesions are most often found on the anterior or anterolateralwall of the rectum, although they can also be located in the leftcolon and be more extensive or even circumferential. Lesions aremultiple in 30 percent of cases. These are the reasons why thisentity is also known as the disease of three lies. We report acase of solitary rectal ulcer syndrome presenting at endoscopywith an erythematous area on the left side wall of the rectum (AU)
Assuntos
Humanos , Feminino , Adulto , Úlcera Péptica/diagnóstico , Doenças Retais/diagnóstico , Reto/lesões , Diagnóstico DiferencialRESUMO
Solitary rectal ulcer syndrome is an uncommon benign condition characterized by rectal bleeding, passage of mucus, and pain. Histological features are well established as obliteration of the lamina propria by fibrosis and smooth-muscle fibers extending from a thickened muscularis mucosa to the lumen. Diagnosis can usually be made on sigmoidoscopy, and biopsies should always be taken. Ulceration is not universally present, and polypoid, non-ulcerated lesions and erythematous areas are also seen. The lesion or lesions are most often found on the anterior or anterolateral wall of the rectum, although they can also be located in the left colon and be more extensive or even circumferential. Lesions are multiple in 30 percent of cases. These are the reasons why this entity is also known as "the disease of three lies". We report a case of solitary rectal ulcer syndrome presenting at endoscopy with an erythematous area on the left side wall of the rectum.
