Solitary rectal ulcer syndrome in children

Solitary rectal ulcer syndrome (SRUS) is rare in children, Few reported cas es have undergone detailed investigations, treatments have been extremely v aried and outcome poorly documented. We report two cases of SRUS in childre n, each with a different macroscopic pathology. The diagnosis was delayed i n both cases. The importance of appropriate investigation and the need to t ailor treatment to the type of lesion are emphasised, One case of SRUS was associated with a complete, full thickness rectal prolapse and symptoms imp roved after an abdominal sutured rectopexy, The other patient responded wel l to endoanal excision of polypoid lesions. The diagnosis and management of this condition in children deserves wider recognition.