International Journal of Gastrointestinal Medicine & Research

Open Access • Peer Reviewed • Quarterly Publication

Ulcerated Lesions are not always Present in Solitary Rectal Ulcer Syndrome: A Case Report

Authors: Faisal Mujib, Basim Saad Alharbi, Dhilal Issaoui, Yasir Saeed Aldughar, Juhaynah Abdullah Alshehri and Shrooq Saad Alharbi
Published: 2026-02-17
Pages: 1-4
DOI: 10.63721/26IJGMR0102
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Abstract

Solitary rectal ulcer syndrome (SRUS) is a benign chronic disorder that usually occurs in young adults. It is characterized by various symptoms, such as rectal bleeding, copious mucus discharge, prolonged exces sive straining, perineal and abdominal pain, a feeling of incomplete defecation, constipation, and, rarely, rectal prolapse. The etiology of this syndrome remains unclear, and its diagnosis is easily confused with that of other diseases, contributing to difficulties in treatment. Here, we present a case of an 18-year-old male with complaints of constipation, weight loss and lower abdominal pain. Colonoscopy showed a polypoidal erythematous rectal lesion grossly resembling rectal cancer. Histopathology of biopsy specimen from lesion showed no evidence of malignancy and showed features of SRUS.

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© 2026 The Author(s). Published by WM Journals.

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

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