Shabir A Shiekh, Zafar A Wani*, Bilal A Khan, Irfan Rasool, Asif I Shah, Shafat S Lone and Zafar I Kawoosa
Department of Gastroenterology, Shifa Hospital, Srinagar Kashmir, IndiaFulltext PDF
Abstract Background: Solitary Rectal Ulcer Syndrome (SRUS) is an uncommon benign defecatory disorder characterized by a combination of symptoms, endoscopic and histological abnormalities. A scarce data is available about this often-misdiagnosed clinical entity. Methods: All patients undergoing colonoscopic examinations for various indications who were diagnosed SRUS by colonoscopy and histopathology from August 2016 to December 2019 in the department of gastroenterology at Shifa Medical Centre, Srinagar, Kashmir, India were included in the study. Results: 105 patients diagnosed as SRUS over a period of three years were included in the study. Mean age of the group was 38 ± 18 years with age range of 15 to 70 years; male to female ratio of 1.6:1. Bleeding per rectum was present in 77%, constipation in 66%, digital evacuation in 49%, and straining at stool in 58% patients. Ulcerative lesions were seen in 92.4% patients of whom solitary and multiple lesions were present in 82.5% and 17.5% respectively on colonoscopy. Polypoidal/ nodular lesions were reported in 6 (5.7%) while erythematous mucosa was found in 2 (1.9%) patients. Biopsy revealed fibromuscular obliteration in 100% of patients, surface ulceration in 75 (72%) and crypt hyperplasia in 19 (18%) of patients. Conclusion: Prevalence of SRUS among the patients undergoing colonoscopy for various indications was 2.1%. Bleeding per rectum was the most common symptom and ulcerative lesion was most common endoscopic finding.
SRUS; Bleeding per rectum; Fibromuscular obliteration
Shiekh SA, Wani ZA, Khan BA, Rasool I, Shah AI, Lone SS, et al. Current Trend of Solitary Rectal Ulcer Syndrome in a Tertiary Hospital in Northern India. Ann Clin Exp Hepatol. 2020;1(1):1003.