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Research Article

The protean clinical endoscopic and histological manifestations of solitary rectal ulcer syndrome

Authors:

D. N. U. Jayatunge,

University of Kelaniya, LK
About D. N. U.
Department of Pathology
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R. M. U. S. Ratnayake,

University of Kelaniya, LK
About R. M. U. S.
Department of Pathology
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E. K. G. D. C. Epitakaduwa,

University of Kelaniya, LK
About E. K. G. D. C.
Department of Pathology
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S. J. de S. Hewavisenthi

University of Kelaniya, LK
About S. J.
Department of Pathology
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Abstract

Background: Solitary Rectal Ulcer Syndrome (SRUS) is a relatively uncommon, benign condition which clinically, endoscopically and histologically can mimic many conditions including carcinoma of the rectum and inflammatory bowel disease.

 

Objectives: Description of the clinical manifestations, endoscopic findings and histological features in a cohort of patients with SRUS.

 

Method: The clinical histories, endoscopic records and the Haematoxyline & Eosin stained slides of 43 patients diagnosed as having SRUS were analyzed.

 

Results: The total study population included 43 patients (men-25 and women-18) with a median age of 45 years and age range from 9-80 years. Symptoms were documented in 33 patients and the commonest presentation was altered bowel habits which included tenesmus, mucous discharge, excessive straining and sensation of incomplete defecation seen in 58% (n=19). Other symptoms were rectal bleeding, diarrhoea and constipation in 48% (n=16), 15%(n=5) and 9%(n=3) respectively.
How to Cite: Jayatunge, D.N.U., Ratnayake, R.M.U.S., Epitakaduwa, E.K.G.D.C. and de S. Hewavisenthi, S.J., 2019. The protean clinical endoscopic and histological manifestations of solitary rectal ulcer syndrome. Journal of Diagnostic Pathology, 15(1), pp.5–9. DOI: http://doi.org/10.4038/jdp.v15i1.7778
Published on 30 Jun 2019.
Peer Reviewed

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