Coexistence of Solitary Rectal Ulcer Syndrome and Ulcerative Colitis: A Case Report and Literature Review
Solitary rectal ulcer syndrome (SRUS) is an uncommon benign disease that is misdiagnosed as malignancy or inflammatory bowel disease because of similarities in clinical and endoscopic manifestations. Furthermore, SRUS with ulcerative colitis (UC) is extremely rare. To date, two cases have been repor...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Association for the Study of Intestinal Diseases
2014-01-01
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| Series: | Intestinal Research |
| Subjects: | |
| Online Access: | http://www.irjournal.org/upload/pdf/ir-12-70.pdf |
| _version_ | 1811216677742837760 |
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| author | Hyun Bum Park Hyung Chul Park Cho Yun Chung Jong Sun Kim Dae Sung Myung Sung Bum Cho Wan Sik Lee Young Eun Joo |
| author_facet | Hyun Bum Park Hyung Chul Park Cho Yun Chung Jong Sun Kim Dae Sung Myung Sung Bum Cho Wan Sik Lee Young Eun Joo |
| author_sort | Hyun Bum Park |
| collection | DOAJ |
| description | Solitary rectal ulcer syndrome (SRUS) is an uncommon benign disease that is misdiagnosed as malignancy or inflammatory bowel disease because of similarities in clinical and endoscopic manifestations. Furthermore, SRUS with ulcerative colitis (UC) is extremely rare. To date, two cases have been reported in the medical literature. We report an additional case of SRUS with UC that was misdiagnosed as rectal cancer. A 61-year-old man was admitted to our hospital with rectal bleeding. Colonoscopy showed a well-demarcated, shallow, ulcerative lesion with polypoidal growth involving the entire circumference of the rectal lumen. Findings from imaging studies, including abdominal computed tomography (CT) and positron emission tomography (PET)/CT resembled those of rectal cancer. Surgical resection was performed because clinical symptoms persisted despite medical treatment and because occult rectal cancer could not be ruled out. Histopathological examination of the resected specimen revealed fibromuscular obliteration of the lamina propria and crypt abscesses, characteristics compatible with SRUS and UC. |
| first_indexed | 2024-04-12T06:42:24Z |
| format | Article |
| id | doaj.art-32259cc5da1b42969e1bedf3b75b9d07 |
| institution | Directory Open Access Journal |
| issn | 1598-9100 2288-1956 |
| language | English |
| last_indexed | 2024-04-12T06:42:24Z |
| publishDate | 2014-01-01 |
| publisher | Korean Association for the Study of Intestinal Diseases |
| record_format | Article |
| series | Intestinal Research |
| spelling | doaj.art-32259cc5da1b42969e1bedf3b75b9d072022-12-22T03:43:40ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002288-19562014-01-01121707310.5217/ir.2014.12.1.7054Coexistence of Solitary Rectal Ulcer Syndrome and Ulcerative Colitis: A Case Report and Literature ReviewHyun Bum Park0Hyung Chul Park1Cho Yun Chung2Jong Sun Kim3Dae Sung Myung4Sung Bum Cho5Wan Sik Lee6Young Eun Joo7Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.Solitary rectal ulcer syndrome (SRUS) is an uncommon benign disease that is misdiagnosed as malignancy or inflammatory bowel disease because of similarities in clinical and endoscopic manifestations. Furthermore, SRUS with ulcerative colitis (UC) is extremely rare. To date, two cases have been reported in the medical literature. We report an additional case of SRUS with UC that was misdiagnosed as rectal cancer. A 61-year-old man was admitted to our hospital with rectal bleeding. Colonoscopy showed a well-demarcated, shallow, ulcerative lesion with polypoidal growth involving the entire circumference of the rectal lumen. Findings from imaging studies, including abdominal computed tomography (CT) and positron emission tomography (PET)/CT resembled those of rectal cancer. Surgical resection was performed because clinical symptoms persisted despite medical treatment and because occult rectal cancer could not be ruled out. Histopathological examination of the resected specimen revealed fibromuscular obliteration of the lamina propria and crypt abscesses, characteristics compatible with SRUS and UC.http://www.irjournal.org/upload/pdf/ir-12-70.pdfSolitary rectal ulcer syndromeUlcerative colitisRectal neoplasmsSurgery |
| spellingShingle | Hyun Bum Park Hyung Chul Park Cho Yun Chung Jong Sun Kim Dae Sung Myung Sung Bum Cho Wan Sik Lee Young Eun Joo Coexistence of Solitary Rectal Ulcer Syndrome and Ulcerative Colitis: A Case Report and Literature Review Intestinal Research Solitary rectal ulcer syndrome Ulcerative colitis Rectal neoplasms Surgery |
| title | Coexistence of Solitary Rectal Ulcer Syndrome and Ulcerative Colitis: A Case Report and Literature Review |
| title_full | Coexistence of Solitary Rectal Ulcer Syndrome and Ulcerative Colitis: A Case Report and Literature Review |
| title_fullStr | Coexistence of Solitary Rectal Ulcer Syndrome and Ulcerative Colitis: A Case Report and Literature Review |
| title_full_unstemmed | Coexistence of Solitary Rectal Ulcer Syndrome and Ulcerative Colitis: A Case Report and Literature Review |
| title_short | Coexistence of Solitary Rectal Ulcer Syndrome and Ulcerative Colitis: A Case Report and Literature Review |
| title_sort | coexistence of solitary rectal ulcer syndrome and ulcerative colitis a case report and literature review |
| topic | Solitary rectal ulcer syndrome Ulcerative colitis Rectal neoplasms Surgery |
| url | http://www.irjournal.org/upload/pdf/ir-12-70.pdf |
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