Solitary rectal ulcer syndrome is a rare disorder. The macroscopic appearance varies from single to multiple ulcers or even circumferential lesions. A patient is presented with solitary rectal ulcer syndrome causing circumferential stenosis of the rectum. Solitary rectal ulcer syndrome should be considered in all patients with malignant looking rectal tumours. Surgical resection is usually required in patients with rectal stricture. This can be performed either through a laparotomy or a parasacral transsphincteric approach.

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