An Unusual Case of Rectal Bleed in an Adolescent: Solitary Rectal Ulcer Syndrome Mimicking Rectosigmoid Malignancy

An Unusual Case of Rectal Bleed in an Adolescent: Solitary Rectal Ulcer Syndrome Mimicking Rectosigmoid Malignancy

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Solitary Rectal Ulcer Syndrome (SRUS) is an uncommon rectal disorder.Severe rectal bleeding, anaemia and a mass on evaluation are a rare presentation of SRUS, and can pose as an endoscopic challenge in differentiating from other causes of rectal bleeding.The incidence of SRUS is 1 in 100,000 people per year.Hence, a high degree of suspicion and timely diagnosis is necessary.The present case is about a 17-year-old Insect Repellents female who presented with rectal bleeding.

Physical evaluation revealed a large polypoidal rectal mass mimicking malignancy which later turned out to be SRUS.The patient improved with medical management.On outpatient follow-up, she had no complaints after a month and follow-up lower endoscopy and imaging later revealed complete healing within three months.Although uncommon, SRUS Mastectomy Care should be considered as a potential cause of lower gastrointestinal bleeding after sinister causes have been ruled out.