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Peer-reviewedCC BY 4.0Cureus

Acute Incarceration of Solitary Rectal Ulcer Syndrome as an Anorectal Emergency in an Adolescent Patient: A Case Report With Long-Term Follow-Up and a Review of the Literature

  • Faisal Elagili1
  • Norfaidhi Akram Mat Nor1
  • Yusof Sainal1
  • Muhammad Irfan Salmi1
  • Azmi Md Nor1
  1. 1Surgery, International Islamic University Malaysia Kulliyyah of Medicine, Kuantan, MYS
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Abstract

Solitary rectal ulcer syndrome (SRUS) is an uncommon, chronic disorder of rectal mucosal prolapse that typically presents with rectal bleeding, mucus discharge, and straining, and can occasionally present as a polypoid mass rather than a discrete ulcer. Acute incarceration of SRUS through the anal canal, requiring emergency surgery, does not appear to have been previously reported. We describe an adolescent boy with a two-year history of biopsy-confirmed SRUS, managed conservatively with only partial symptomatic response, who presented with acute, irreducible incarceration of a large, actively bleeding polypoidal mass protruding through the anal canal. He underwent emergency examination under anaesthesia with complete transanal excision, achieving simultaneous diagnostic and therapeutic control, and histopathology confirmed SRUS without dysplasia or malignancy. He remained completely asymptomatic with no recurrence at long-term follow-up extending to nearly six years postoperatively. This case illustrates an apparently novel presentation of SRUS as an anorectal surgical emergency, supports complete transanal excision as effective definitive treatment, and is placed in the context of the wider published literature on polypoid and prolapse-related SRUS.

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Cite

BibTeXRIS
BibTeX
@article{elagili2026acute,
  title = {{Acute Incarceration of Solitary Rectal Ulcer Syndrome as an Anorectal Emergency in an Adolescent Patient: A Case Report With Long-Term Follow-Up and a Review of the Literature}},
  author = {Faisal Elagili and Norfaidhi Akram Mat Nor and Yusof Sainal and Muhammad Irfan Salmi and Azmi Md Nor},
  journal = {Cureus},
  year = {2026},
  month = oct,
  doi = {10.7759/cureus.117470},
  url = {https://doi.org/10.7759/cureus.117470},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Acute Incarceration of Solitary Rectal Ulcer Syndrome as an Anorectal Emergency in an Adolescent Patient: A Case Report With Long-Term Follow-Up and a Review of the Literature
AU  - Faisal Elagili
AU  - Norfaidhi Akram Mat Nor
AU  - Yusof Sainal
AU  - Muhammad Irfan Salmi
AU  - Azmi Md Nor
PY  - 2026
DA  - 2026/10/05
JO  - Cureus
DO  - 10.7759/cureus.117470
UR  - https://doi.org/10.7759/cureus.117470
AB  - Solitary rectal ulcer syndrome (SRUS) is an uncommon, chronic disorder of rectal mucosal prolapse that typically presents with rectal bleeding, mucus discharge, and straining, and can occasionally present as a polypoid mass rather than a discrete ulcer. Acute incarceration of SRUS through the anal canal, requiring emergency surgery, does not appear to have been previously reported. We describe an adolescent boy with a two-year history of biopsy-confirmed SRUS, managed conservatively with only partial symptomatic response, who presented with acute, irreducible incarceration of a large, actively bleeding polypoidal mass protruding through the anal canal. He underwent emergency examination under anaesthesia with complete transanal excision, achieving simultaneous diagnostic and therapeutic control, and histopathology confirmed SRUS without dysplasia or malignancy. He remained completely asymptomatic with no recurrence at long-term follow-up extending to nearly six years postoperatively. This case illustrates an apparently novel presentation of SRUS as an anorectal surgical emergency, supports complete transanal excision as effective definitive treatment, and is placed in the context of the wider published literature on polypoid and prolapse-related SRUS.
SN  - 2168-8184
ER  -