{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:23:14Z","timestamp":1787768594921,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Solitary rectal ulcer syndrome (SRUS) is an uncommon, benign condition that presents with a wide range of symptoms mimicking other pathological conditions, often leading to misdiagnosis and delays in treatment. A 60-year-old male patient was diagnosed with SRUS with rectal stricture with the help of colonoscopy, anorectal manometry, magnetic resonance defecography, and histopathological examination. He was managed with high-fiber diet, laxatives, biofeedback therapy, argon plasma coagulation, and stricture dilatation, which effectively alleviated the patient\u2019s condition. SRUS is a rare benign condition typically associated with mucosal trauma from chronic straining, self-induced rectal manipulation, or rectal prolapse. The pathogenesis behind SRUS includes rectal wall compression, ischemia due to poor blood supply, chronic inflammation, and mechanical trauma due to repeated digital evacuation, leading to mucosal ulceration and, in some cases, fibrosis and stricture formation. Stricture in SRUS is rare and may mimic malignancy, leading to delays in appropriate diagnosis. The differential diagnosis includes inflammatory bowel disease and neoplasms. Hence, histological confirmation is critical. SRUS with rectal stricture is an unusual presentation that requires a high index of suspicion. Histopathological confirmation remains the gold standard for diagnosis. Early diagnosis is, therefore, essential for effective management of SRUS.<\/jats:p>","DOI":"10.4103\/aam.aam_322_25","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T11:00:17Z","timestamp":1757415617000},"page":"1013-1016","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Solitary Rectal Ulcer Syndrome with Fibrotic Rectal Stricture: A Diagnostic Dilemma"],"prefix":"10.4103","volume":"25","author":[{"given":"Ajay","family":"Pranami","sequence":"first","affiliation":[{"name":"Department of Medical Gastroenterology, Dr. D. Y. Patil Vidyapeeth, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anushka","family":"Verma","sequence":"additional","affiliation":[{"name":"Department of Physiology, Dr. D. Y. Patil Vidyapeeth, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amol","family":"Dahale","sequence":"additional","affiliation":[{"name":"Department of Medical Gastroenterology, Dr. D. Y. Patil Vidyapeeth, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Gopal","sequence":"additional","affiliation":[{"name":"Department of Medical Gastroenterology, Dr. D. Y. Patil Vidyapeeth, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"key":"R1-20260803","first-page":"225","article-title":"What we know today about solitary rectal ulcer syndrome","volume":"152","author":"Maluenda","year":"2024","journal-title":"Rev M\u00e9d Chil"},{"key":"R2-20260803","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1136\/gut.10.11.871","article-title":"Solitary ulcer of the rectum","volume":"10","author":"Madigan","year":"1969","journal-title":"Gut"},{"key":"R3-20260803","doi-asserted-by":"crossref","first-page":"738","DOI":"10.3748\/wjg.v20.i3.738","article-title":"Solitary rectal ulcer syndrome: Clinical features, pathophysiology, diagnosis and treatment strategies","volume":"20","author":"Zhu","year":"2014","journal-title":"World J Gastroenterol"},{"key":"R4-20260803","doi-asserted-by":"crossref","first-page":"129","DOI":"10.15171\/mejdd.2019.138","article-title":"Solitary rectal ulcer syndrome: A narrative review","volume":"11","author":"Sadeghi","year":"2019","journal-title":"Middle East J Dig Dis"},{"key":"R5-20260803","doi-asserted-by":"crossref","first-page":"e0565","DOI":"10.1097\/MD.0000000000010565","article-title":"Solitary rectal ulcer syndrome: A systematic review","volume":"97","author":"Forootan","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"R6-20260803","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1159\/000448065","article-title":"An unusual cause of rectal stenosis","volume":"10","author":"Gruber","year":"2016","journal-title":"Case Rep Gastroenterol"},{"key":"R7-20260803","doi-asserted-by":"crossref","first-page":"28","DOI":"10.12771\/emj.2016.39.1.28","article-title":"Solitary rectal ulcer syndrome mimicking rectal cancer","volume":"39","author":"Choi","year":"2016","journal-title":"Ewha Med J"},{"key":"R8-20260803","first-page":"289","article-title":"Solitary rectal ulcer mimicking a malignant stricture. A case report","volume":"14","author":"Perrakis","year":"2005","journal-title":"Rom J Gastroenterol"},{"key":"R9-20260803","first-page":"241","article-title":"Solitary rectal ulcer syndrome (SRUS) masquerading as a carcinomatous stricture","volume":"43","author":"Lokuhetty","year":"1998","journal-title":"Ceylon Med J"},{"key":"R10-20260803","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/BF01890227","article-title":"Benign (solitary) ulcer of the rectum \u2013Another cause for rectal stricture","volume":"6","author":"Chapa","year":"1981","journal-title":"Gastrointest Radiol"},{"key":"R11-20260803","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-230X-12-72","article-title":"The clinical, endoscopic and histological spectrum of the solitary rectal ulcer syndrome: A single-center experience of 116 cases","volume":"12","author":"Abid","year":"2012","journal-title":"BMC Gastroenterol"},{"key":"R12-20260803","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1002\/bjs.1800681021","article-title":"Solitary rectal ulcer syndrome in Northern Ireland, 1971\u20131980","volume":"68","author":"Martin","year":"1981","journal-title":"Br J Surg"},{"key":"R13-20260803","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1007\/BF02555506","article-title":"Clinical and manometric features of the solitary rectal ulcer syndrome","volume":"27","author":"Keighley","year":"1984","journal-title":"Dis Colon Rectum"},{"key":"R14-20260803","doi-asserted-by":"crossref","first-page":"3270","DOI":"10.53730\/ijhs.v7nS1.14888","article-title":"Frequency of solitary rectal ulcer syndrome amongst patients with lower gastrointestinal bleeding","volume":"7","author":"Sardar","year":"2023","journal-title":"Int J Health Sci"},{"key":"R15-20260803","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s12664-020-01089-w","article-title":"Argon plasma coagulation-an effective treatment for solitary rectal ulcer syndrome: A single-center experience from Western India","volume":"40","author":"Shah","year":"2021","journal-title":"Indian J Gastroenterol"},{"key":"R16-20260803","doi-asserted-by":"crossref","first-page":"26","DOI":"10.5144\/0256-4947.2024.26","article-title":"Argon plasma coagulation: An effective treatment for solitary rectal ulcer syndrome","volume":"44","author":"Shahid","year":"2024","journal-title":"Ann Saudi Med"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_322_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:16:25Z","timestamp":1787768185000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_322_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,9]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_322_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,9]]},"assertion":[{"value":"2025-07-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}