Two Cases of Ulceration in Babies Extending from the Rectum to the Anus M. Takano 1 , Y. Sumikoshi 1 1Proctologry Center, Social Insurance Central Hospital pp.791-796
Published Date 1973/6/25
DOI https://doi.org/10.11477/mf.1403108541
  • Abstract
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 In two babies, one 6-month-old, male, and the other, 2-month-old female, extensive ulcers arising shortly after their birth were encountered that extended from the lower part of the rectum out through the anus over to the perineal region. The ulcers, shallow and free from coat, did not form a tumor mass. Pathologically, these ulcers belonged to nonspecific inflammatory ulcers different from those seen in ulcerative colitis or Crohn's disease in the adult.

 The ulcers produced local pain, tenesmus and diarrhoea to such a degree as to jeopardize their lives. These ulcers did not respond well to medication of corticosteroids and antibiotics, and only after the artificial anus was made in the colon above the ulcerations and stools were hindered from passing the diseased segment did the severe symptoms subside, restoring life to the babies. Both cases were complicated with aphthae in the mouth together with inflammatory pharyngeal polyposis. Tendency to ulceration was suggested by these findings in the entire length of the digestive tract.

 We are of the opinion that recto-anal ulcers seen in these babies comprise a new pathological entity as yet unreported in the literature. No hereditary or embryologic abnormality was recognized.

Copyright © 1973, Igaku-Shoin Ltd. All rights reserved.


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