Document Detail


Coexistence of solitary rectal ulcer syndrome and ulcerative colitis: a case report and literature review.
MedLine Citation:
PMID:  25349567     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Hyun Bum Park; Hyung Chul Park; Cho Yun Chung; Jong Sun Kim; Dae Sung Myung; Sung Bum Cho; Wan Sik Lee; Young Eun Joo
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Publication Detail:
Type:  Journal Article     Date:  2014-01-28
Journal Detail:
Title:  Intestinal research     Volume:  12     ISSN:  1598-9100     ISO Abbreviation:  Intest Res     Publication Date:  2014 Jan 
Date Detail:
Created Date:  2014-10-28     Completed Date:  2014-10-28     Revised Date:  2014-11-17    
Medline Journal Info:
Nlm Unique ID:  101572802     Medline TA:  Intest Res     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  70-3     Citation Subset:  -    
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