Open AccessAn Unusual Case of Rectal Bleed in an Section Adolescent: Solitary Rectal Ulcer Syndrome Mimicking Rectosigmoid Malignancy
Author(s) -
S Rajeevan,
I Shubha,
Keerthivass Premkumar,
S Caroline,
A Chezhian
Publication year - 2022
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2022/51074.15991
Subject(s) - medicine , malignancy , bleed , surgery , incidence (geometry) , sigmoidoscopy , endoscopy , presentation (obstetrics) , colonoscopy , radiology , colorectal cancer , cancer , physics , optics
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 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.