Solid rectal ulcer syndrome: An unusual case presentation

We present an unusual case of a 59 years old female patient with irritable bowel syndrome, and arthritis who underwent a screening colonoscopy. In the rectosigmoid junction a hemorrhagic polypoid mass with a diameter of 1.5 cm (Figure 1), has been detected and been excluded. Histology reveals a solid rectal ulcer characterized by abnormal hyperplastic crypts, dense mixed type inflammatory infiltrates of the lamina propria and ulceration on its surface.