Korean J Gastrointest Endosc > Volume 11(1); 1991 > Article

Korean Journal of Gastrointestinal Endoscopy 1991;11(1): 113-116.

고립성 직장 궤양 증후군 1예 ( A Case of Solitary Rectal Ulcer Syndrome )

김미정, 윤경환, 유종선, 김세종, 윤종만, 김영진, 정상우, 유주용 (Mi Jung Kim, Kyung Hwan Yoon, Jong Sun Rew, Sei Jong Kin, Chong Mann Yon, Young Jin Kim, Sang Woo Juhng and Joo Yong Yoo)

Abstract

Solitary rectal ulcer syndrome (SRUS), which has a characteristic histopathologic features, is an uncommon disease in young adults of either sex. The common clinical features are bloody stool and anal pain. By rectosigmoidoscopy, the lesions are typically seen as single or multiple shallow ulcers with hyperemic margins or polypoid mass. Variable appearance of the ulcer may cause coinical confusion mimicking even a malignant neoplasm. The condition is essentially benign and may persist unchanged for many years. Therefore, it is most important to distinguish solitary ulcer from rectal malignancy. We report a case of solitary rectal ulcer syndrome canfirmed by histopathologic finding, the initial clinical diagnosis was a malignant neoplasm.