Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 26, 2018; 6(14): 820-824
Published online Nov 26, 2018. doi: 10.12998/wjcc.v6.i14.820
Solitary rectal ulcer syndrome complicating sessile serrated adenoma/polyps: A case report and review of literature
Hui Sun, Wei-Qi Sheng, Dan Huang
Hui Sun, Wei-Qi Sheng, Dan Huang, Department of Pathology, Fudan University Shanghai Cancer Center, Shanghai 200032, China
Hui Sun, Wei-Qi Sheng, Dan Huang, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
Author contributions: Sun H was involved in acquisition of patient data and was a major contributor in drafting the manuscript; Huang D was involved in reviewing the manuscript and giving the final approval for publication; all authors read and approved the final manuscript.
Supported by the National Natural Science Foundation of China, No. 81101806; and Natural Science Foundation of Shanghai, No. 17ZR1406500.
Informed consent statement: Consent was obtained from the patients for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dan Huang, MD, PhD, Doctor, Professor, Teacher, Department of Pathology, Fudan University Shanghai Cancer Center, 270 Dong’an Road, Shanghai 200032, China. dianehuangfdcc@gmail.com
Telephone: +86-21-64175590 Fax: +86-21-64174774
Received: July 27, 2018
Peer-review started: July 30, 2018
First decision: September 13, 2018
Revised: October 17, 2018
Accepted: October 23, 2018
Article in press: October 22, 2018
Published online: November 26, 2018
Processing time: 125 Days and 3.7 Hours
ARTICLE HIGHLIGHTS
Case characteristics

Solitary rectal ulcer syndrome (SRUS) is an uncommon benign disease. It has been reported previously, but the case of SURS arising secondarily to sessile serrated adenomas/polyp (SSA/p) has been rarely reported.

Clinical diagnosis

Rectal ulcer.

Differential diagnosis

Rectal cancer.

Laboratory diagnosis

Blood and mucus were detected in the feces.

Imaging diagnosis

Thickening of the rectal mucosa-submucosa.

Pathological diagnosis

SRUS with SSA/P.

Treatment

Mainly medical therapy, and if not relieved, surgical management is indicated.

Related reports

A review of solitary rectal ulcer syndrome has been reported by Ala I Sharara in the Journal of Gastrointestinal Endoscopy.

Term explanation

SRUS: Solitary rectal ulcer syndrome; SSA/p: Sessile serrated adenomas/polyp.

Experiences and lessons

This case will contribute to improvements in our understanding of SRUS with SSA/P. This case may also serve as a reminder to gastroenterologists, surgeons and pathologists who may encounter SRUS cases in their clinical practice.