Solitary rectal ulcer syndrome (SRUS) is a rare benign rectal disorder. Due to its rare occurrence, it is not properly diagnosed and is often misdiagnosed with other diseases. In this report, we present a case of a polypoid solitary rectal ulcer presented by rectal bleeding and chronic constipation.

Key Clinical Message Patients complaining of rectal bleeding, constipation, and a suspicious mass in colonoscopy should undergo biopsy. Histological features such as fibromuscular obliteration in the lamina propria favor SRUS, a benign disorder.