International Journal of Colorectal Disease

, Volume 21, Issue 4, pp 348–356

Solitary rectal ulcer syndrome

An endoscopic and histological presentation and literature review
  • Jy-Ming Chiang
  • Chung-Rong Changchien
  • Jim-Ray Chen
Original Article

DOI: 10.1007/s00384-005-0020-6

Cite this article as:
Chiang, JM., Changchien, CR. & Chen, JR. Int J Colorectal Dis (2006) 21: 348. doi:10.1007/s00384-005-0020-6



Although the clinicopathologic features of solitary rectal ulcer syndrome (SRUS) are well documented, the heterogeneous endoscopic appearance of lesions that the syndrome produces and its rare incidence may make for clinical confusion.


Together with a literature review, we describe the variety of lesions experienced in our hospital with a series of endoscopic and histological illustrations and emphasize the diagnostic dilemma both clinically and histologically.


With comparison of different macroscopic presentations of SRUS, more correct diagnoses will be achieved and more successful treatments will be reported.


Solitary rectal ulcer syndromeDiagnostic endoscopyHistological diagnosisMucosal prolapse syndrome

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Jy-Ming Chiang
    • 1
  • Chung-Rong Changchien
    • 1
  • Jim-Ray Chen
    • 2
    • 3
  1. 1.Division of Colon and Rectal SurgeryChang Gung Memorial HospitalTaipeiTaiwan
  2. 2.Department of PathologyChang Gung Memorial HospitalTao-YuanTaiwan
  3. 3.National Cancer Research CenterNational Health Research InstitutesTaipeiTaiwan