International Journal of Scientific and Research Publications

IJSRP, Volume 5, Issue 5, May 2015 Edition [ISSN 2250-3153]

Solitary Rectal Ulcer Syndrome - The Masquerader
      Odaiyappan Kannappan, Stanley Mathew, Ravikiran Naalla
Abstract: Introduction: Solitary rectal ulcer syndrome (SRUS) is a great masquerader and misdiagnosis has serious implications for the patient. Methods and materials: We reviewed 21 patients with histopathologically proven SRUS at our tertiary care teaching hospital in South India. Results: Bleeding per rectum and constipation with passage of mucous were the common symptoms at presentation. Endoscopy revealed a single ulcer in 16 (76.19%), multiple ulcers in 5 (23.8%), polypoidal lesion in 1 (4.7%) and circumferential ulcer in 2 (9.5%). 3 (14.28%) patients had rectal ulcer resembling malignancy on endoscopy such as everted edge 1 (4.7%) and hard growth 2 (9.5%). Endoscopic biopsy from one such patient was reported as adenocarcinoma for which abdominoperineal resection was done. The final histopathological report of the resected specimen was SRUS. Conclusion: SRUS is a misnomer with a potential for misdiagnosis as carcinoma. Under reporting may result in progression of disease and over reporting is disastrous for low rectal lesions.

Reference this Research Paper (copy & paste below code):

Odaiyappan Kannappan, Stanley Mathew, Ravikiran Naalla (2018); Solitary Rectal Ulcer Syndrome - The Masquerader; Int J Sci Res Publ 5(5) (ISSN: 2250-3153).
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