Solitary Rectal Ulcer Syndrome - The Masquerader
نویسندگان
چکیده
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.
منابع مشابه
Solitary rectal ulcer syndrome Clinicopathological Review of a Series of 19 Patients
Background and Objectives: The etiology, pathophysiology, nomenclature and clinical manifes-tation of solitary rectal ulcer syndrome (SRUS) is poorly understood. Aim: To examine the pathology of mucosal changes and clinical features of this syndrome. Materials and Methods: The mucosal biopsies of 19 pati...
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