Abstract

Solitary Rectal Ulcer Syndrome (SRUS) is a chronic and benign condition of rectum with an estimated incidence of one per 100000 people per year. Symptoms range from perianal pain, constipation, incomplete evacuation to severe bleeding per rectum and related complications. Giant SRUS is further rare with average size measuring >4 cm in diameter. There is absolute paucity of data for role of radiological intervention in SRUS and complications associated with giant SRUS. Here we discuss a case of giant SRUS which was refractory to standard modalities of treatment, was associated with complications like severe bleeding per rectum (PR), perianal abscess and stulae formation. He also required radiological as well as surgical intervention in form of trans-arterial embolization and Incision and drainage of perianal abscess / stulotomy, respectively

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