Solitary rectal ulcer syndrome – An uncommon cause of rectal bleeding in children

Abstract

Background: Solitary rectal ulcer syndrome (SRUS) is a benign chronic disorder rarely found in children commonly presents with rectal bleeding, mucorrhea, straining during defecation, tenesmus, feeling of incomplete defecation, rectal prolapse and constipation. The pathogenesis is not clearly understood but several factors such as trauma, rectal prolapse, ischemia, behavioral disorders such as excessive straining during defecation and rectal manipulation, sexual abuse and disharmony of the pelvic floor muscles during defection may be involved. SRUS is diagnosed on the basis of clinical symptoms and endoscopic and histological findings. Various treatment protocol for SRUS have been described such as conservative management such as family reassurance, regulation of toilet habits, avoidance of straining, encouragement of a high-fiber diet, topical treatments with salicylate, sulfasalazine, steroids and sucralfate, and surgery. Methods: A comprehensive search is done using PubMed, Scopus, Google scholar and MEDLINE. Results: The result of this review will be published in a journal. Conclusion: This study discusses about the pathogenesis, clinical features, diagnosis and various treatment strategy of solitary rectal ulcer syndrome in children. Bangladesh Medical Res Counc Bull 2023; 49(1): 70-74