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Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1782
Morandi E., Castoldi M., Merlini D., Pisoni L., Via A.
General and Emergency Surgery, Unit, A.O. “G. Salvini” Rho Hospital, Milan, Italy
Solitary Rectal Ulcer Syndrome (SRUS) is a poorly understood condition and the optimal treatment controversial. Here we present the successful surgical resolution of a substantial Solitary Rectal Ulcer Syndrome in a 32 year old female in whom conservative treatment measures had failed. Rectal endosonography and a defecating proctogram demonstrated evidence of a significant rectal intussuseption but no rectal prolapse. The patient underwent surgical excision of the ulcer and a Delorme procedure which led to a complete resolution of her symptoms. Through a description of her management we discus the presentation, investigation and optimal management of Solitary Rectal Ulcer Syndrome and demonstrate the successful role of surgery in patients with an underlying intussuseption.