{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T15:33:57Z","timestamp":1758814437584},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"869","license":[{"start":{"date-parts":[[1998,3,1]],"date-time":"1998-03-01T00:00:00Z","timestamp":888710400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1998,3,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Rectal strictures are uncommon in young patients without a history of malignancy, inflammatory bowel disease or previous surgery. Lymphogranuloma venereum of the rectum has been described as a rare cause of rectal strictures in the western world, mainly in homosexual men and in blacks. It presents with nonspecific symptoms, rectal ulcer, proctitis, anal fissures, abscesses and rectal strictures. Clinical and endoscopic findings as well as histology resemble Crohn's disease, which may be misdiagnosed. Serology is often positive for Chlamydia trachomatis but negative serology is not uncommon. We present two young black women who suffered from chronic diarrhoea, abdominal pain and weight loss. There was no previous history and investigations showed in both cases a long rectal stricture. Serology was positive in one patient. They were treated with erythromycin and azithromycin and they both underwent an anterior resection of the rectum. Postoperative histology confirmed the presence of lymphogranuloma venereum of the rectum. We conclude that rectal lymphogranuloma venereum is a rare cause of rectal strictures but surgeons should be aware of its existence and include it in the differential diagnosis of unexplained strictures in high-risk patients.<\/jats:p>","DOI":"10.1136\/pgmj.74.869.168","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:49:00Z","timestamp":1230587340000},"page":"168-169","source":"Crossref","is-referenced-by-count":18,"title":["Lymphogranuloma venereum as a cause of rectal strictures"],"prefix":"10.1093","volume":"74","author":[{"given":"S","family":"Papagrigoriadis","sequence":"first","affiliation":[{"name":"Academic Department of Surgery, King's College Hospital , Denmark Hill, London SE5 9RS, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J A","family":"Rennie","sequence":"additional","affiliation":[{"name":"Academic Department of Surgery, King's College Hospital , Denmark Hill, London SE5 9RS, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1998,3,1]]},"reference":[{"key":"ref_1","article-title":"Pictorial guide to sexually transmitted diseases Secausus","author":"Fiumara, N.J.","year":"1987","unstructured":"Fiumara NJ. Pictorial guide to sexually transmitted diseases Secausus:NJ, Hospital Publications Inc, 1987."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1055\/s-2007-1012857","article-title":"et al Rectal pseudotumour due to Chlamydia trachomatis in a male homosexual","volume":"22","author":"Ruther, U.; Rupp, W.; Muller, H.A.","year":"1990","unstructured":"Ruther U, Rupp W, Muller HA, et al Rectal pseudotumour due to Chlamydia trachomatis in a male homosexual. Endoscopy 1990;22:237-8","journal-title":"Endoscopy"},{"key":"ref_3","first-page":"285","article-title":"Ghatak DP A study of urinary fistulae in Sokoto, Nigeria","volume":"90","year":"1992","unstructured":"Ghatak DP A study of urinary fistulae in Sokoto, Nigeria. J Indian Med Assoc 1992;90:285-7.","journal-title":"J Indian Med Assoc"},{"key":"ref_4","first-page":"602","article-title":"Supralevator abscess due to chronic rectal lymphogranuloma venereum","volume":"85","author":"Mostafavi, H.; O'Donnel, K.F.; Chong, F.K.","year":"1990","unstructured":"Mostafavi H, O'Donnel KF, Chong FK. Supralevator abscess due to chronic rectal lymphogranuloma venereum. Am J Gastroenterol 1990;85:602-6.","journal-title":"Am J Gastroenterol"},{"key":"ref_5","first-page":"1563","article-title":"Hemorrhagic proctitis due to lymphogranuloma venereum serogroup L2. diagnosis by fluorescent monoclonal antibody","volume":"30","author":"Klotz, S.A.; Drutz, D.J.; Tam, M.R.; Reed, K.H.","year":"1983","unstructured":"Klotz SA, Drutz DJ, Tam MR, Reed KH. Hemorrhagic proctitis due to lymphogranuloma venereum serogroup L2. diagnosis by fluorescent monoclonal antibody. NEnglJ Med 1983;30:1563-5.","journal-title":"NEnglJ Med"},{"key":"ref_6","first-page":"103","article-title":"Rectal lymphogranuloma venereum in association with rectal adenocarcinoma","volume":"13","author":"Chopda, N.M.; Desai, D.C.; Sawant, P.D.","year":"1994","unstructured":"Chopda NM, Desai DC, Sawant PD, et al. Rectal lymphogranuloma venereum in association with rectal adenocarcinoma. Indian J Gastroenterol 1994;13: 103-4.","journal-title":"Indian J Gastroenterol"},{"key":"ref_7","first-page":"344","article-title":"A case of lymphogranuloma venereum of 20 years' duration: isolation of Chlamydia trachomatis from perianal lesions","volume":"56","author":"Dan, M.; Rotmensch, H.H.; Eylan, E.","year":"1980","unstructured":"Dan M, Rotmensch HH, Eylan E, et al. A case of lymphogranuloma venereum of 20 years' duration: isolation of Chlamydia trachomatis from perianal lesions. Br J Vener Dis 1980;56:344-6.","journal-title":"Br J Vener Dis"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/74\/869\/168\/50221889\/postgradmedj-74-168.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/74\/869\/168\/50221889\/postgradmedj-74-168.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T06:02:01Z","timestamp":1683871321000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/74\/869\/168\/7061136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,3,1]]},"references-count":7,"journal-issue":{"issue":"869","published-online":{"date-parts":[[1998,3,1]]},"published-print":{"date-parts":[[1998,3,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.74.869.168","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1998,3]]},"published":{"date-parts":[[1998,3,1]]}}}