Spontaneous Resolution of Solitary Rectal Ulcer Syndrome During Pregnancy: Report of a Case

Sood, Sumit K.; Garner, Jeff; Amin, Salma

doi:10.1007/s10350-008-9268-6

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…For example, there is a case report of a solitary rectal ulcer in a woman resolving during pregnancy and recurring after delivery, which may point to a hormonal factor. 19 Failure of corrective surgery to resolve symptoms of SRUS brings about another uncertainty in understanding possible factors involved in the pathogenesis of this condition. 20 Overall, it seems that chronic mucosal injury and ischemic trauma are the main mechanisms though further studies may shed more light on the process.…”

Section: Introductionmentioning

confidence: 99%

Solitary Rectal Ulcer Syndrome: A Narrative Review

Sadeghi

Biglari

Forootan

et al. 2019

Middle East J Dig Dis

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Solitary rectal ulcer syndrome is a multifactorial pathology, which entails a variety of clinical, histologic and endoscopic aspects that needs step-wise logical approach for management especially in relapsing refractory cases. Apart from the diagnostic dilemma that may be faced due to similarities of presentation with inflammatory bowel diseases or colorectal neoplastic lesions, the syndrome also overlaps with dyssynergic defecation syndrome, health anxiety disorder, obsessive compulsive disorder, and latent mucosal rectal prolapse, a systematic composite treatment modality including psychological, pharmacological, physiological and possibly surgical interventions are sometimes essential. Selecting appropriate treatment in this condition not only affects clinical outcome but also patients’ experience and further stigma of SRUS life-long. In this review, we will discuss the detailed pathophysiology, diagnostic and therapeutic approaches in dealing with solitary rectal ulcer syndrome.

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Section: Introductionmentioning

confidence: 99%

Solitary Rectal Ulcer Syndrome: A Narrative Review

Sadeghi

Biglari

Forootan

et al. 2019

Middle East J Dig Dis

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“…Must give reassurance that the lesion is benign and advice to avoid straining or anal digitation, regulation of toilet habits, decrease time on the commode, consumption of a high-fiber diet and bulk laxatives. 17,33,32 Bio feedback: If general measures fails to relieve symptom then biofeedback therapy for symptomatic improvement. 1,38,39 Biofeedback is known as a variety of behavioral changes that acts by correcting pelvic floor dyssynergia, reduces excessive straining associated with defecation and stopping the use of suppositories and laxatives.…”

Section: Managementmentioning

confidence: 99%

Solitary Rectal Ulcer Syndrome: An Unusual Cause of Per Rectal Bleeding in Children

Fathema¹,

Benzamin²,

Sayeed³

et al. 2023

J Enam Med Col

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Solitary rectal ulcer syndrome (SRUS) is a relatively uncommon but troublesome chronic benign disorder more in young adults and less in children. It is usually presented as rectal bleeding, constipation, copious mucous discharge, prolonged excessive straining, tenesmus, lower abdominal pain, localized pain in the perineal area, feeling of incomplete defecation and rarely rectal prolapse.The underlying etiology is not well known. It is diagnosed based on symptoms and endoscopic and histological findings. J Enam Med Col 2021; 11(1): 47-51

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“…Mucosal ulceration is believed to be due to forceful straining against an immobile or a non-relaxing pelvic floor together with trauma from digital manipulations as well as ischemic necrosis of the prolapsing rectal mucosa. Spontaneous resolution of SRUS during pregnancy suggests that hormones may play a role in its pathogenesis (21). …”

Section: Structural Disorders Of Defecationmentioning

confidence: 99%

Treating pelvic floor disorders of defecation: Management or cure?

Rao

Go²

2009

Curr Gastroenterol Rep

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Pelvic floor disorders that affect defecation consist of structural disorders such as rectocele and functional disorders such as dyssynergic defecation. Evaluation includes a good history and physical examination, a careful digital rectal exam, as well as physiological tests such as anorectal manometry, colonic transit study and balloon expulsion test. Defecography and dynamic magnetic resonance imaging may facilitate detection of structural defects. Their management consists of education and counseling regarding bowel function, diet, laxatives and behavioral therapies. Recently, several randomized clinical trials have shown that biofeedback therapy is effective in dyssynergic defecation. Dyssynergia may also co-exist in structural disorders such as solitary rectal ulcer syndrome or rectocele. Hence, before proceeding with surgery, neuromuscular training or biofeedback should be considered. Several surgical approaches including stapled transanal rectal resection (STARR) have been advocated, but there is lack of well controlled randomized studies and their efficacy is unproven.

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Spontaneous Resolution of Solitary Rectal Ulcer Syndrome During Pregnancy: Report of a Case

Cited by 5 publications

References 14 publications

Solitary Rectal Ulcer Syndrome: A Narrative Review

Solitary Rectal Ulcer Syndrome: A Narrative Review

Solitary Rectal Ulcer Syndrome: An Unusual Cause of Per Rectal Bleeding in Children

Treating pelvic floor disorders of defecation: Management or cure?

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