Indian Journal of Gastroenterology

, Volume 32, Issue 1, pp 58–59 | Cite as

An unusual endoscopic presentation of solitary rectal ulcer syndrome

  • Kambiz Yazdanpanah
  • Ahmad Shavakhi
  • Mohammad Hossein Sanei
  • Amir Hossein Pezeshki
  • Amir Hossein SarramiEmail author
Case Report


Solitary rectal ulcer syndrome (SRUS) is an uncommon rectal disorder. Massive rectal bleeding is a rare presentation of SRUS, and can pose an endoscopic challenge in differentiating from other causes of massive rectal bleeding. A 22-year-old man presented with massive rectal bleeding which had SRUS with spurting bleeding on lower endoscopic evaluation. He was treated by endoscopic hemostasis using argon plasma coagulation. He had no complaint after a month and follow up lower endoscopy proved complete healing within two months. SRUS should be considered as a potential cause of massive rectal bleeding.


Lower gastrointestinal bleed Rectal ulcer Solitary rectal ulcer syndrome 


Conflict of interest


Supplementary material

Video 1

Lower endoscopic evaluation showed spurting bleeding of distal solitary rectal ulcer (WMV 12906kb)


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Copyright information

© Indian Society of Gastroenterology 2012

Authors and Affiliations

  • Kambiz Yazdanpanah
    • 1
  • Ahmad Shavakhi
    • 2
  • Mohammad Hossein Sanei
    • 3
  • Amir Hossein Pezeshki
    • 4
  • Amir Hossein Sarrami
    • 4
    Email author
  1. 1.Department of GastroenterologyKurdistan University of Medical SciencesSanandajIran
  2. 2.Department of GastroenterologyAlzahra Hospital, Isfahan University of Medical SciencesIsfahanIran
  3. 3.Department of PathologyIsfahan University of Medical SciencesIsfahanIran
  4. 4.Medical Students’ Research CenterIsfahan University of Medical SciencesIsfahanIran

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