Case Report: Massive rectal bleeding from stercoral ulcers in a pediatric patient - Summary - MDSpire

Case Report: Massive rectal bleeding from stercoral ulcers in a pediatric patient

  • By

  • Paolo Quitadamo

  • Antonia Pascarella

  • Linda di Napoli

  • Maria Giovanna Puoti

  • Sara Isoldi

  • Ludovica Carangelo

  • Paolo Siani

  • April 30, 2026

  • 0 min

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Objective:

To report a rare case of severe rectal hemorrhage due to stercoral ulcers in a pediatric patient with a history of chronic constipation, highlighting its significance in pediatric care.

Key Findings:
  • The patient had severe rectal bleeding due to stercoral ulcers, a condition rarely reported in pediatric patients, emphasizing the need for awareness.
  • Colonoscopy showed deep ulcers covered by fibrin, consistent with stercoral colitis, indicating the severity of the condition.
  • Post-treatment, the patient achieved spontaneous daily bowel movements and normal stool consistency, demonstrating effective management.
Interpretation:

This case highlights the potential severity of stercoral colitis in children with chronic constipation and the importance of timely intervention.

Limitations:
  • The rarity of the condition limits generalizability.
  • Long-term outcomes beyond the 10-month follow-up are not reported, which may affect understanding of the condition's progression.
Conclusion:

The case underscores the need for awareness of stercoral colitis in pediatric patients with chronic constipation, as it can lead to severe complications if not diagnosed and managed promptly.

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