Case, Reference, Publication year | Sex/Age (yr) | Comorbidities | Presenting Symptoms | Preceding condition | Endoscopic finding | Pathological findinga | Treatment | Outcome |
---|---|---|---|---|---|---|---|---|
1 [21], 2007 | M/71 | DM, arrhythmia | Hematochezia | Esophageal adenocarcinoma with esophagectomy complicated with multiple organ failure | Multiple ulcers | Yes | Proctectomy and colostomy | Died (due to massive rectal bleeding) |
2 [22], 2006 | F/86 | N/A | Anorexia, diarrhea | N/A | Two fistulas (into the vagina and urinary bladder) | Yes | Ganciclovir | Improved |
3 [23], 1999 | F/57 | DM | Diarrhea, tenesmus, and difficulty in defecating | Klebsiella pneumoniae bacteremia complicated with disseminated hepatic microabscesses and septic pneumonia | Large ulceration with multiple fistulas and sinus tracts | Yes | Ganciclovir | Improved |
4 [12], 1999 | F/83 | DM, stroke | Bloody diarrhea | Pseudomonas pyelonephritis | Rectal ulcer | Yes | Supportive | Improved |
5 [12], 1999 | F/59 | Hypertension, CKD | Bloody diarrhea (5 days after MI) | Acute MI with cardiogenic shock | Rectal erosions | Yes | Supportive | Died (due to heart and renal failure) |
6 [12], 1999 | M/63 | IHD, CKD | Diarrhea, fever (12 days after MI) | Acute MI, stroke | Rectal erythema | Yes | Supportive | Died (due to pneumonia) |
7 [12], 1999 | F/69 | DM | Hematochezia, fever | Hyperosmolar diabetic coma, pneumonia, and cystitis | Circumferential ulcer at the rectum | Yes | Supportive | Died (due to pyelonephritis) |
8 [12], 1999 | F/92 | Meningioma; chairbound | Bloody diarrhea, fever | Cholangitis | Rectal ulcer | Yes | Ganciclovir | Rectal stricture, improved |
9 [12], 1999 | F/74 | Osteoporosis, DM, parkinsonism | Bloody diarrhea | N/A | Sessile growth at rectum | Yes | Ganciclovir | Died, (due to septic shock; had a rectovaginal fistula) |
10 [24], 1988 | M/65 | N/A | Hematochezia | Motorcycle accident | Rectal erythema with a polypoid mass and punch-out ulcers | Yes | Sulfasalazine | Improved |
11, current case | F/79 | DM. IHD, major depression disorder | Abdominal pain, diarrhea, tenesmus | Metabolic encephalopathy, delirium | Rectal ulcer | Yes | Valganciclovir | Improved |