{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T02:25:38Z","timestamp":1777861538581,"version":"3.51.4"},"reference-count":3,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Gastroenterol."],"abstract":"<jats:p>A 10-year-old patient was admitted to the pediatric sub-intensive care unit due to massive rectal bleeding and severe acute anemia. His medical background included Asperger syndrome and a history of chronic constipation not adequately addressed by medical therapy. Colonoscopy showed two deep ulcers in the rectum and sigmoid colon of approximately 4\u00a0cm in diameter, which were diagnosed as stercoral ulcers related to stercoral colitis, a rare inflammatory form of colitis that occurs in patients with refractory constipation. Stercoral colitis has been mainly described in elderly patients with dementia or in bedbound patients and only occasionally in adults with psychiatric disorders. To the best of our knowledge, this is the first case of massive rectal bleeding from stercoral ulcers in a pediatric patient.<\/jats:p>","DOI":"10.3389\/fgstr.2026.1614154","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:24:23Z","timestamp":1777523063000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Massive rectal bleeding from stercoral ulcers in a pediatric patient"],"prefix":"10.3389","volume":"5","author":[{"given":"Paolo","family":"Quitadamo","sequence":"first","affiliation":[{"name":"Pediatric Gastroenterology and Hepatology Unit, Santobono-Pausilipon Children\u2019s Hospital","place":["Naples, Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonia","family":"Pascarella","sequence":"additional","affiliation":[{"name":"Pediatric Department, Santobono-Pausilipon Children\u2019s Hospital","place":["Naples, Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"di Napoli","sequence":"additional","affiliation":[{"name":"Department of Translational Medical Science, Section of Pediatrics, University \u201cFederico II\u201d","place":["Naples, Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Giovanna","family":"Puoti","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology and Hepatology Unit, Santobono-Pausilipon Children\u2019s Hospital","place":["Naples, Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Isoldi","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology and Hepatology Unit, Santobono-Pausilipon Children\u2019s Hospital","place":["Naples, Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludovica","family":"Carangelo","sequence":"additional","affiliation":[{"name":"Clinical Pharmacology and Toxicology Unit, Department of Neuroscience and Reproductive and Odonto-stomatological Sciences, University of Naples Federico II","place":["Naples, Italy"]},{"name":"Clinical and Translational Research Unit, Santobono-Pausilipon Children\u2019s Hospital","place":["Naples, Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Siani","sequence":"additional","affiliation":[{"name":"Pediatric Department, Santobono-Pausilipon Children\u2019s Hospital","place":["Naples, Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"B1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s12245-023-00578-x","article-title":"Stercoral colitis in the emergency department: a review of the literature","volume":"17","author":"Bae","year":"2024","journal-title":"Int J Emerg Med"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1177\/000313480206800114","article-title":"Stercoral perforation of the sigmoid colon: report of a rare case and its possible association with nonsteroidal anti-inflammatory drugs","volume":"68","author":"Patel","year":"2002","journal-title":"Am Surg"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.43554","article-title":"The extremes of constipation: a case of stercoral perforation from fecal impaction in a teenager","volume":"15","author":"Lee","year":"2023","journal-title":"Cureus"}],"container-title":["Frontiers in Gastroenterology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgstr.2026.1614154\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T04:24:26Z","timestamp":1777523066000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fgstr.2026.1614154\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":3,"alternative-id":["10.3389\/fgstr.2026.1614154"],"URL":"https:\/\/doi.org\/10.3389\/fgstr.2026.1614154","relation":{},"ISSN":["2813-1169"],"issn-type":[{"value":"2813-1169","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]},"article-number":"1614154"}}