Solitary rectal ulcer syndrome mimicking rectal neoplasm on MRI

TY - JOUR

T1 - Solitary rectal ulcer syndrome mimicking rectal neoplasm on MRI

AU - Amaechi, I.

AU - Papagrigoriadis, S.

AU - Hizbullah, S.

AU - Ryan, S. M.

PY - 2010/11

Y1 - 2010/11

N2 - Solitary rectal ulcer syndrome (SRUS) is a rare condition that typically affects young adults and describes a spectrum of clinicopathological abnormalities. The diagnosis of SRUS is usually made on the basis of a combination of presenting symptoms and endoscopic and histological appearances. Characteristic radiological appearances have been described on transrectal and endoanal ultrasound, defecating proctography and barium enema. The radiological appearance of solitary rectal ulcer on MRI has not been previously described. MRI appearance of thickened ulcerated mucosa in the anterior rectal wall are non-specific and was indistinguishable from a malignant process. However, given that solitary rectal ulcer has a pre-disposition to occur in the anterior rectal wall, the presence on MRI of thickened rectal mucosa in this location could suggest solitary rectal ulcer in the correct clinical context.

AB - Solitary rectal ulcer syndrome (SRUS) is a rare condition that typically affects young adults and describes a spectrum of clinicopathological abnormalities. The diagnosis of SRUS is usually made on the basis of a combination of presenting symptoms and endoscopic and histological appearances. Characteristic radiological appearances have been described on transrectal and endoanal ultrasound, defecating proctography and barium enema. The radiological appearance of solitary rectal ulcer on MRI has not been previously described. MRI appearance of thickened ulcerated mucosa in the anterior rectal wall are non-specific and was indistinguishable from a malignant process. However, given that solitary rectal ulcer has a pre-disposition to occur in the anterior rectal wall, the presence on MRI of thickened rectal mucosa in this location could suggest solitary rectal ulcer in the correct clinical context.

U2 - 10.1259/bjr/24752209

DO - 10.1259/bjr/24752209

M3 - Article

SN - 1748-880X

VL - 83

SP - E221 - E224

JO - British Journal of Radiology

JF - British Journal of Radiology

IS - 995

ER -