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Modified Tong Xie Yao Fang relieves solitary rectal ulcer syndrome: A case report
BACKGROUND: Solitary rectal ulcer syndrome (SRUS) is a rare rectal disorder characterized by bloody mucus in the stool, difficulty in defecation, pain, and anal swelling. To date, the etiology of this syndrome remains not well understood and the diagnosis is frequently confused with other disorders,...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695551/ https://www.ncbi.nlm.nih.gov/pubmed/31423438 http://dx.doi.org/10.12998/wjcc.v7.i15.2058 |
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author | Zhang, Li-Li Hao, Wan-Shan Xu, Meng Li, Chang Shi, Yuan-Yuan |
author_facet | Zhang, Li-Li Hao, Wan-Shan Xu, Meng Li, Chang Shi, Yuan-Yuan |
author_sort | Zhang, Li-Li |
collection | PubMed |
description | BACKGROUND: Solitary rectal ulcer syndrome (SRUS) is a rare rectal disorder characterized by bloody mucus in the stool, difficulty in defecation, pain, and anal swelling. To date, the etiology of this syndrome remains not well understood and the diagnosis is frequently confused with other disorders, making treatment a clinical challenge. CASE SUMMARY: A 50-year-old woman presented to our hospital with a 40-d history of bloody mucus in the stool and anal swelling. SRUS was suspected. Rectoscopy revealed a large, severe ulcerous lesion. Histologically, the lesion was characterized as chronic ulcer without clear tumor cells, and the final diagnosis of SRUS was made. The patient was treated with Chinese medicine therapy, with administration of Tong Xie Yao Fang. After 3 wk of treatment, the symptoms improved significantly. At 2-mo follow-up, rectoscopy in a local hospital showed healed ulcer scars without obvious protrusion 3 cm from the anal verge. CONCLUSION: Chinese medicine therapy represents a potential treatment of SRUS with predominant rectal bleeding, mucinous discharge, and anal swelling pain. |
format | Online Article Text |
id | pubmed-6695551 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-66955512019-08-16 Modified Tong Xie Yao Fang relieves solitary rectal ulcer syndrome: A case report Zhang, Li-Li Hao, Wan-Shan Xu, Meng Li, Chang Shi, Yuan-Yuan World J Clin Cases Case Report BACKGROUND: Solitary rectal ulcer syndrome (SRUS) is a rare rectal disorder characterized by bloody mucus in the stool, difficulty in defecation, pain, and anal swelling. To date, the etiology of this syndrome remains not well understood and the diagnosis is frequently confused with other disorders, making treatment a clinical challenge. CASE SUMMARY: A 50-year-old woman presented to our hospital with a 40-d history of bloody mucus in the stool and anal swelling. SRUS was suspected. Rectoscopy revealed a large, severe ulcerous lesion. Histologically, the lesion was characterized as chronic ulcer without clear tumor cells, and the final diagnosis of SRUS was made. The patient was treated with Chinese medicine therapy, with administration of Tong Xie Yao Fang. After 3 wk of treatment, the symptoms improved significantly. At 2-mo follow-up, rectoscopy in a local hospital showed healed ulcer scars without obvious protrusion 3 cm from the anal verge. CONCLUSION: Chinese medicine therapy represents a potential treatment of SRUS with predominant rectal bleeding, mucinous discharge, and anal swelling pain. Baishideng Publishing Group Inc 2019-08-06 2019-08-06 /pmc/articles/PMC6695551/ /pubmed/31423438 http://dx.doi.org/10.12998/wjcc.v7.i15.2058 Text en ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Zhang, Li-Li Hao, Wan-Shan Xu, Meng Li, Chang Shi, Yuan-Yuan Modified Tong Xie Yao Fang relieves solitary rectal ulcer syndrome: A case report |
title | Modified Tong Xie Yao Fang relieves solitary rectal ulcer syndrome: A case report |
title_full | Modified Tong Xie Yao Fang relieves solitary rectal ulcer syndrome: A case report |
title_fullStr | Modified Tong Xie Yao Fang relieves solitary rectal ulcer syndrome: A case report |
title_full_unstemmed | Modified Tong Xie Yao Fang relieves solitary rectal ulcer syndrome: A case report |
title_short | Modified Tong Xie Yao Fang relieves solitary rectal ulcer syndrome: A case report |
title_sort | modified tong xie yao fang relieves solitary rectal ulcer syndrome: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695551/ https://www.ncbi.nlm.nih.gov/pubmed/31423438 http://dx.doi.org/10.12998/wjcc.v7.i15.2058 |
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