Solitary Rectal Ulcer Syndrome
Solitary rectal ulcer syndrome is not very common. Patients have inflammation and thickening in the rectum which sometimes is associated with an internal rectal prolapse (intusseception).
The causes are uncertain but a number of factors have been implicated. Excessive straining can cause a degree of internal prolapse. If this happens and the prolapse telescopes down into the anus it can be rubbed, causing it to become inflamed and ulcerated. Some patients use a finger in the anus to help open their bowel and this may be a cause of inlammation.
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Mrs J.D. North Warwickshire. Ventral Mesh Rectopexy. November 2014