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Chirurgia 2006 June;19(3):241-3

Copyright © 2006 EDIZIONI MINERVA MEDICA

language: Italian

A surgical conundrum: solitary rectal ulcer

Morandi E., Castoldi M., Merlini D., Pisoni L., Via A.

General and Emergency Surgery, Unit, A.O. “G. Salvini” Rho Hospital, Milan, Italy


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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.

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