The Study of Acute Hemorrhagic Ulcer of the Rectum without Cerebrovascular Disease

Seven patients with acute hemorrhagic ulcer of the rectum (AHUR) , who were denied the cerebrovascular disease, were examined during last 9 years in our hospital. The purpose of this study is to evaluate them conserning background and endscopic findings. They consisted 3 men and 4 women with average age of 70.2 (55-85) . All of them complained sudden hematochezia. They were divided into two groups according to the decrease of hemoglobin (Hb) on laboratory data after each episode ; Group A : ≧3mg/dl, Group B : ＜3mg/dl. In group A, endoscopic findings showed circular and deep ulcer in the distal 1/3, although 2 were multiple and remaining 2 were solitary. Three of them needed endoscopic hemostasis. On the other hand, geographical and shallow ulcers were revealed in group B. None of them needed endoscopic treetment. In conclusion, the depth of ulcer should be an important factor to have severe hemorrhage and endoscopic treatment is essential.