An Unusual Case of Rectal Bleed in an Adolescent: Solitary Rectal Ulcer Syndrome Mimicking Rectosigmoid Malignancy
Published: February 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/51074.15991
S Rajeevan, I Shubha, K Premkumar, S Caroline, A Chezhian
1. Postgraduate Resident, Institute of Medical Gastroenterology, Madras Medical College, Chennai, Tamil Nadu, India.
2. Assistant Professor, Institute of Medical Gastroenterology, Madras Medical College, Chennai, Tamil Nadu, India.
3. Associate Professor, Institute of Medical Gastroenterology, Madras Medical College, Chennai, Tamil Nadu, India.
4. Professor, Institute of Medical Gastroenterology, Madras Medical College, Chennai, Tamil Nadu, India.
5. Assistant Professor, Institute of Medical Gastroenterology, Madras Medical College, Chennai, Tamil Nadu, India.
Correspondence
I Shubha,
Assistant Professor, Institute of Medical Gastroenterology, Madras Medical College,
Chennai-600003, Tamil Nadu, India.
E-mail: gastroshubha@gmail.com
Solitary Rectal Ulcer Syndrome (SRUS) is an uncommon rectal disorder. Severe rectal bleeding, anaemia and a mass on evaluation are a rare presentation of SRUS, and can pose as an endoscopic challenge in differentiating from other causes of rectal bleeding. The incidence of SRUS is 1 in 100,000 people per year. Hence, a high degree of suspicion and timely diagnosis is necessary. The present case is about a 17-year-old female who presented with rectal bleeding. Physical evaluation revealed a large polypoidal rectal mass mimicking malignancy which later turned out to be SRUS. The patient improved with medical management. On outpatient follow-up, she had no complaints after a month and follow-up lower endoscopy and imaging later revealed complete healing within three months. Although uncommon, SRUS should be considered as a potential cause of lower gastrointestinal bleeding after sinister causes have been ruled out.
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