Case Report: Massive rectal bleeding from stercoral ulcers in a pediatric patient - Takeaways - 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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  • 1

    A 10-year-old patient with Asperger syndrome and chronic constipation experienced severe rectal hemorrhage and acute anemia.

  • 2

    Colonoscopy revealed two deep stercoral ulcers in the rectum and sigmoid colon, linked to stercoral colitis.

  • 3

    The patient underwent multiple treatments, including blood transfusions and bowel cleansing, leading to resolution of rectal bleeding.

  • 4

    Histological examination showed chronic-active inflammation and granulation tissue in the affected colonic areas.

  • 5

    At follow-up, the patient had normal bowel movements, no further bleeding, and maintained a healthy diet and weight.

Original Source(s)

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

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