CASE REPORTS   

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

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.