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
Core Tip

Core tip: We report a 59-year-old man presenting with blood and mucus in the feces, diarrhea and constipation. A subsequent endoscopy of the rectum revealed a 5-cm ulcerative nodule in the anterior wall of the rectum, 5 cm from the anal verge. Abdominal magnetic resonance imagining revealed thickening of the mucosa-submucosa, raising suspicion of rectal carcinoma. The surgical resection of the rectum was performed. However, the final pathology suggested an unusual case of solitary rectal ulcer syndrome complicating sessile serrated adenoma/polyp.