Acute hemorrhagic rectal ulcer syndrome: the first case series from Thailand.
The term "Acute hemorrhagic rectal ulcer syndrome (AHRUS)" has been denoted as a pathological entity that consists of lower gastrointestinal bleeding with unique clinical features. The common setting can be found in elderly patients who were hospitalized with multiple comorbidities. The ty...
Saved in:
Main Authors: | , , , , |
---|---|
Other Authors: | |
Format: | Article |
Published: |
2018
|
Subjects: | |
Online Access: | https://repository.li.mahidol.ac.th/handle/123456789/14972 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Institution: | Mahidol University |
id |
th-mahidol.14972 |
---|---|
record_format |
dspace |
spelling |
th-mahidol.149722018-06-11T12:16:37Z Acute hemorrhagic rectal ulcer syndrome: the first case series from Thailand. Monthira Maneerattanaporn Ananya Pongpaibul Supot Pongprasobchai Udom Kachintorn Sathaporn Manatsathit Mahidol University Medicine The term "Acute hemorrhagic rectal ulcer syndrome (AHRUS)" has been denoted as a pathological entity that consists of lower gastrointestinal bleeding with unique clinical features. The common setting can be found in elderly patients who were hospitalized with multiple comorbidities. The typical location is around the dentate line. The predominant feature of these ulcers is profuse and painless rectal bleeding. Currently, this condition has not been established worldwide and it has never been reported in Thailand. The authors reported nine cases of AHRUS. These cases were reviewed from the records of endoscopic procedures which were performed at Siriraj Endoscopy Center between September-December 2006. All underwent complete colonoscopy to evaluate endoscopic appearances. Histopathologic findings were thoroughly reviewed. The characteristics of the ulcers are multiple, round or oval shape located just above the dentate line, with/without evidence of bleeding stigmata. Histopathologic features included superficial necrosis, erosions with acute inflammatory cell infiltration and evidence of recent hemorrhage, all of which were confined to the mucosal layer. No organisms were discovered from the lesions. In conclusion, this is the first review of AHRUS which is an uncommon cause of hematochezia in Thailand. Although this clinical entity is not well established in Western countries, the rising incidence of AHRUS in Asia warrants further investigation into its pathogenesis, treatment and prevention. 2018-06-11T05:16:37Z 2018-06-11T05:16:37Z 2012-02-01 Article Journal of the Medical Association of Thailand = Chotmaihet thangphaet. Vol.95 Suppl 2, (2012) 01252208 2-s2.0-84862273271 https://repository.li.mahidol.ac.th/handle/123456789/14972 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84862273271&origin=inward |
institution |
Mahidol University |
building |
Mahidol University Library |
continent |
Asia |
country |
Thailand Thailand |
content_provider |
Mahidol University Library |
collection |
Mahidol University Institutional Repository |
topic |
Medicine |
spellingShingle |
Medicine Monthira Maneerattanaporn Ananya Pongpaibul Supot Pongprasobchai Udom Kachintorn Sathaporn Manatsathit Acute hemorrhagic rectal ulcer syndrome: the first case series from Thailand. |
description |
The term "Acute hemorrhagic rectal ulcer syndrome (AHRUS)" has been denoted as a pathological entity that consists of lower gastrointestinal bleeding with unique clinical features. The common setting can be found in elderly patients who were hospitalized with multiple comorbidities. The typical location is around the dentate line. The predominant feature of these ulcers is profuse and painless rectal bleeding. Currently, this condition has not been established worldwide and it has never been reported in Thailand. The authors reported nine cases of AHRUS. These cases were reviewed from the records of endoscopic procedures which were performed at Siriraj Endoscopy Center between September-December 2006. All underwent complete colonoscopy to evaluate endoscopic appearances. Histopathologic findings were thoroughly reviewed. The characteristics of the ulcers are multiple, round or oval shape located just above the dentate line, with/without evidence of bleeding stigmata. Histopathologic features included superficial necrosis, erosions with acute inflammatory cell infiltration and evidence of recent hemorrhage, all of which were confined to the mucosal layer. No organisms were discovered from the lesions. In conclusion, this is the first review of AHRUS which is an uncommon cause of hematochezia in Thailand. Although this clinical entity is not well established in Western countries, the rising incidence of AHRUS in Asia warrants further investigation into its pathogenesis, treatment and prevention. |
author2 |
Mahidol University |
author_facet |
Mahidol University Monthira Maneerattanaporn Ananya Pongpaibul Supot Pongprasobchai Udom Kachintorn Sathaporn Manatsathit |
format |
Article |
author |
Monthira Maneerattanaporn Ananya Pongpaibul Supot Pongprasobchai Udom Kachintorn Sathaporn Manatsathit |
author_sort |
Monthira Maneerattanaporn |
title |
Acute hemorrhagic rectal ulcer syndrome: the first case series from Thailand. |
title_short |
Acute hemorrhagic rectal ulcer syndrome: the first case series from Thailand. |
title_full |
Acute hemorrhagic rectal ulcer syndrome: the first case series from Thailand. |
title_fullStr |
Acute hemorrhagic rectal ulcer syndrome: the first case series from Thailand. |
title_full_unstemmed |
Acute hemorrhagic rectal ulcer syndrome: the first case series from Thailand. |
title_sort |
acute hemorrhagic rectal ulcer syndrome: the first case series from thailand. |
publishDate |
2018 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/14972 |
_version_ |
1763487970566864896 |