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Genital
Published in A. Sahib El-Radhi, Paediatric Symptom and Sign Sorter, 2019
Solitary rectal ulcer syndrome manifests as rectal bleeding, constipation, prolonged straining, mucous discharge and PR. The condition should not be misdiagnosed as inflammatory bowel disease, polyps or complication from PR.
Chronic Perineal Pain
Published in Peter Sagar, Andrew G. Hill, Charles H. Knowles, Stefan Post, Willem A. Bemelman, Patricia L. Roberts, Susan Galandiuk, John R.T. Monson, Michael R.B. Keighley, Norman S. Williams, Keighley & Williams’ Surgery of the Anus, Rectum and Colon, 2019
Giuseppe Chiarioni, William E. Whitehead
Solitary Rectal Ulcer Syndrome: painful defaecation and chronic rectal discomfort may be reported in this uncommon syndrome. However, intermittent mucus and a bloody discharge will be revealed by a careful history.
Inflammatory bowel disease in South-Eastern Norway III (IBSEN III): a new population-based inception cohort study from South-Eastern Norway
Published in Scandinavian Journal of Gastroenterology, 2021
Vendel A. Kristensen, Randi Opheim, Gøri Perminow, Gert Huppertz-Hauss, Trond Espen Detlie, Charlotte Lund, Svend Andersen, Bjørn C. Olsen, Ingunn Johansen, Asle W. Medhus, Simen Vatn, Stephan Brackmann, Christine Olbjørn, Jon Rove, Magne Henriksen, Emma Elisabeth Løvlund, May-Bente Bengtson, Tone Bergene Aabrekk, Tor Tønnessen, Florin Berge Vikskjold, Hussain Yassin, Svein Oskar Frigstad, Audun Hasund, Ole Høie, Katharina Schmidt, Raziye Boyar Cetinkaya, Roald Torp, Erik Skogestad, Hans Kristian Holm, Tahir Riaz Ahmad, Øistein Hovde, Carl Magnus Ystrøm, Batool Aballi, Arnt Sagosen, Aina Pedersen, Stein Dahler, Jens Pallenschat, Petr Ricanek, Marte Lie Høivik
All general practitioners and the private gastroenterology centers in the South-Eastern Health Region were informed of the ongoing study by letter and invited to refer all patients with symptoms and clinical findings suspicious of IBD to their local hospital. Individuals with suspected IBD based on referral letters were invited to participate in the study. Patients who fulfilled internationally accepted diagnostic criteria (Lennard-Jones criteria for adults [14], revised Porto criteria for children [15]) after initial diagnostic work-up were included as definite IBD cases. Patients with subtle findings indicative of IBD [on endoscopy or magnetic resonance imaging (MRI)], but who did not meet full diagnostic criteria, were also included and classified as ‘suspicion of small bowel IBD’ or ‘suspicion of large bowel IBD’. Patients with symptoms of IBD, but without endoscopic or histologic signs of inflammation, were classified as ‘symptomatic non-IBD controls’. These patients remained in the study as a control group. Exclusion criteria were other causes of acute or chronic bowel inflammation, i.e. infectious colitis, radiation colitis, diversion colitis, solitary rectal ulcer syndrome, graft versus host disease, diverticular colitis, medication associated colitis, ischemic colitis, microscopic colitis, and enema associated colitis.