Solitary rectal ulcer - A rare cause of gastrointestinal bleeding in an adolescent with hemophilia A

Solitary rectal ulcer syndrome (SRUS) is a rarely reported condition in chi ldren. The typical presentation is one of anorectal pain with passage of bl ood and mucus per rectum in the setting of defecation abnormalities. Diagno sis is made via endoscopy and biopsy. Solitary rectal ulcer syndrome alone is usually a benign condition; however, significant morbidity can occur if complicated by underlying disease states. We report an adolescent with hemo philia A and SRUS who presented with a rectal bleed that required blood tra nsfusion.