Not true regarding solitary rectal ulcer –
Correct Answer: Involves Posterior wall.
Description: Causes of solitary rectal ulcer syndrome
Due to a combination of
Internal intussusception
Anterior rectal wall prolapse
Increase in intrarectal pressure
Symptoms → pain, bleeding, mucus discharge or outlet obstruction.
Treatment
Nonoperative therapy (high fibre diet, defecation training to avoid straining, and laxatives or enemas) is effective in the majority of patients.
Surgery (either abdominal or perineal repair of prolapse) is reserved for highly symptomatic patients, who have failed all medical intervention e.g. rectopexy.
Category:
Surgery
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