Table of Contents Author Guidelines Submit a Manuscript
Canadian Journal of Gastroenterology
Volume 15, Issue 7, Pages 479-483
http://dx.doi.org/10.1155/2001/145041
Brief Communication

Solitary Rectal Ulcer Syndrome Presenting with Rectal Prolapse, Severe Mucorrhea and Eroded Polypoid Hyperplasia: Case Report and Review of the Literature

Deepak V Gopal,1 Christopher Young,2 and Ronald M Katon1

1Division of Gastroenterology, Oregon Health Sciences University, Portland, Oregon, USA
2Department of Pathology, Oregon Health Sciences University, Portland, Oregon, USA

Received 24 January 2000; Accepted 6 September 2000

Copyright © 2001 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A case of solitary rectal ulcer syndrome in a 36-year-old woman presenting with severe, persistent mucorrhea and eroded polypoid hyperplasia as the predominant clinical features, who was ultimately noted to have symptoms of rectal prolapse, is presented. Endoscopically, she had multiple (50 to 60) small, whitish polypoid lesions in the rectum that were initially misinterpreted as being a carpeted villous adenoma, juvenile polyposis or atypical proctitis. The lesions were treated with argon plasma coagulation with resolution, but a solitary rectal ulcer developed. The patient then admitted to a history of massive rectal prolapse over the preceding six months and underwent surgical treatment. Severe mucorrhea as the presenting feature and the presence of multiple polypoid lesions consistent with a histological diagnosis of eroded polypoid hyperplasia make the present case unique.