Solitary rectal ulcer syndrome presenting with rectal prolapse, severe mucorrhea and eroded polypoid hyperplasia: Case report and review of the literature

A case of solitary rectal ulcer syndrome in a 36-year-old woman presenting with severe, persistent mucorrhea and eroded polypoid hyperplasia as the pr edominant clinical features, who was ultimately noted to have symptoms of r ectal prolapse, is presented. Endoscopically, she had multiple (50 to 60) s mall, whitish polypoid lesions in the rectum that were initially misinterpr eted as being a carpeted villous adenoma, juvenile polyposis or atypical pr octitis. The lesions were treated with argon plasma coagulation with resolu tion, but a solitary rectal ulcer developed. The patient then admitted to a history of massive rectal prolapse over the preceding six months and under went surgical treatment. Severe mucorrhea as the presenting feature and the presence of multiple polypoid lesions consistent with a histological diagn osis of eroded polypoid hyperplasia make the present case unique.