Diagnostic considerations for structural pathology that are commonly associated with chronic anorectal pain includes cryptitis, fissure, abscess, hemorrhoids, solitary rectal ulcer, inflammatory bowel disease, and rectal ischemia.
Common organic causes include cryptitis, anal fissure, perianal abscess (with or without fistula), hemorrhoids, solitary rectal ulcer, inflammatory bowel disease, and rectal ischemia (Figure 3).
Patients with full thickness rectal prolapse, Solitary rectal ulcer syndrome with internal prolapse and rectocele were included in the study.
4%), followed by solitary rectal ulcer syndrome with internal prolapse, n=4 (13%) and 3 (9.
sup] CCP is associated with a variety of ulcerating diseases including inflammatory bowel disease (ulcerative colitis [UC] and Crohn's disease), infectious colitis, rectal prolapse, solitary rectal ulcer, and diverticulitis, among others.
Surgical therapy for colitis cystica profunda and solitary rectal ulcer syndrome.
Rectal ulcer has the following differential diagnoses: Radiation rectal ulceration, solitary rectal ulcer
syndrome, ischemic proctitis, stercoral ulcer, and rectal ulcers secondary to treatment with nonsteroidal compounds.
Solitary rectal ulcer
can be misdiagnosed as cancer though it may be benign on pathology.
It is present in 40% of patients with solitary rectal ulcer (SRU) and in 33% of patients with unexplained perineal pain without a history of obstructed defecation.
A solitary rectal ulcer is a chronic, recurrent ulcer on the anterior wall of the rectum that can mimic IRP since it also causes pain, mucous discharge and discomfort during defecation.
evaluated the treatment of an unresponsive solitary rectal ulcer
with XIFAXAN 400 mg BID in one patient.
The clinically significant findings seen on colonoscopy included colorectal cancers, IBD, colonic tuberculosis, strictures, solitary rectal ulcers
and polyps (Fig 1-8).