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Solitary rectal ulcer syndrome: two case reports
T Akaraviputh1, P Watanapa, S Ratanarapee
1Department of Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Summary
Solitary rectal ulcer syndrome (SRUS) is a rare condition often misdiagnosed. Surgical resection improved symptoms in two patients, highlighting the need for awareness to ensure correct diagnosis and treatment.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Solitary rectal ulcer syndrome (SRUS) is a rare anorectal condition.
- SRUS is frequently misdiagnosed as malignancy or inflammatory bowel disease.
Observation:
- Two adult females presented with anorectal symptoms including pain, tenesmus, and altered bowel habits.
- Diagnostic imaging revealed rectal mucosal irregularities and strictures; biopsy showed non-specific inflammation.
Findings:
- Despite investigations, malignancy could not be excluded, necessitating exploratory laparotomy and rectal resection.
- Histopathology confirmed SRUS, characterized by submucosal rectal fibrosis.
Implications:
- Surgical intervention led to dramatic symptom improvement and recovery in both patients.
- Increased awareness of SRUS is crucial for accurate diagnosis and to prevent unnecessary radical surgeries like abdominoperineal resection.
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