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Solitary Rectal Ulcer Syndrome Is Not Always Ulcerated: A Case Report
Yi Liu1, Zhihao Chen1, Lizhou Dou1
1Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Medicina (Kaunas, Lithuania)
|August 26, 2022
Summary
Solitary rectal ulcer syndrome (SRUS) can mimic rectal cancer, leading to misdiagnosis. Early differentiation is crucial for appropriate treatment of this benign condition.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Pathology
Background:
- Solitary rectal ulcer syndrome (SRUS) is a chronic disorder with varied symptoms like rectal bleeding and straining.
- Its etiology is unclear, and diagnosis is often challenging due to overlapping symptoms with other conditions.
- SRUS can be misdiagnosed, complicating effective treatment strategies.
Observation:
- A case report details a 37-year-old male with a nonulcerated rectal lesion.
- The lesion's endoscopic and pathological appearance mimicked superficial rectal cancer.
- This case highlights diagnostic challenges in distinguishing SRUS from malignancy.
Findings:
- The presented case underscores the potential for SRUS to be misdiagnosed as rectal cancer.
- Endoscopic and pathological analysis is key to accurate differentiation.
- Prompt recognition is vital to avoid unnecessary aggressive treatments.
Implications:
- Accurate diagnosis of SRUS is essential to prevent misclassification as rectal cancer.
- Endoscopists must be aware of SRUS's varied presentations to avoid diagnostic errors.
- Distinguishing SRUS from superficial rectal cancer ensures appropriate patient management and outcomes.
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