Solitary rectal ulcer syndrome in a patient with anorexia nervosa: A case report

Int J Eat Disord. 2016 Jul;49(7):731-5. doi: 10.1002/eat.22548. Epub 2016 May 20.


This case report describes the clinical presentation, diagnosis, and management of a 26-year-old patient with anorexia nervosa (AN) diagnosed with Solitary Rectal Ulcer Syndrome (SRUS). To our knowledge, this is the first case report to document SRUS in AN, whose pathogenesis in this case seems to have been determined by the patient's malnourished and underweight state. Furthermore, SRUS symptoms appear to have interacted with the eating disorder psychopathology, increasing the need to exert control over eating. Cognitive behavioral strategies and procedures were accordingly used to address the eating disorder psychopathology and to promote complete weight restoration, which brought about a significant reduction in the size of the ulcer and the complete resolution of SRUS symptoms. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2016; 49:731-735).

Keywords: Solitary Rectal Ulcer Syndrome; anorexia nervosa; eating disorders; gastrointestinal complications; inpatient treatment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anorexia Nervosa / complications*
  • Anorexia Nervosa / psychology
  • Female
  • Humans
  • Rectal Diseases / diagnosis
  • Rectal Diseases / etiology*
  • Rectum / diagnostic imaging
  • Syndrome
  • Thinness / complications
  • Ulcer / diagnosis
  • Ulcer / etiology*