Inflammatory stenosing rectitis

Abstract

The paper is a study of case histories of inflamatory rectal stenosis, compiled through our Service at the University Hospital ( Hospital de Clínicas), over a peperiod of 14 years.
It is limited to inflamatory ethiology, and only definite stenosis, established by clinical, radiological and endoscopic examination are taken into account; intermediate
stages are discarded. 488 -case histories are revised; the results, 22 observations, were classified according to their etiology into four groups, in order of frequency:
1) V enereal limphogranuloma, 20 cases: 12 genito-ganglionic cases, wittout rectal localization; 11 with a rectal localization, of which 8 ( 40 % ) were rectal stenosis.
2) Diverticular colopathies. Out of 287 cases, 7 were rectal stenosis (2,4 %). 3) Ulcerous recto-colitis. 63 observations, one case of rectal stenosis (1,05 % ) .  4) Perirectal stenosis, initiated at the pelvis, 3 observations. 5) Unclassified, 3 observations. ·A clinical study is made thereof, accompanied by endoscopic, radiological and hystopathological evidence, indicating their most charaderistic elements. A summary is made of the evolution which has occurred in the concept of this disease, its venereal predominance-and in the last few years, the concept of granulomatous rectocolopathies which tends to establish common elements for classifying the different forros.