title: Solitary rectal ulcer syndrome in a patient with anorexia nervosa: A case report.
abstract: 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).
authors.affiliation: Department of Eating and Weight Disorders, Villa Garda Hospital, Via Montebaldo, 89, 37016 Garda, Verona, Italy.
authors.forename: Marwan
authors.initials: M
authors.lastname: El Ghoch
authors.affiliation: Unit of Gastroenterology, Casa di Cura Pederzoli, via Montebaldo, 24, 37019 Peschiera del Garda, Verona, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Benini
authors.affiliation: Service of Digestive Endoscopy, Casa di Cura Pederzoli, via Montebaldo, 24, 37019 Peschiera del Garda, Verona, Italy.
authors.forename: Daniela
authors.initials: D
authors.lastname: Sgarbi
authors.affiliation: Department of Eating and Weight Disorders, Villa Garda Hospital, Via Montebaldo, 89, 37016 Garda, Verona, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Dalle Grave
mesh_terms: D000328:Adult; D000856:Anorexia Nervosa / Q000150:complications* / Q000523:psychology; D005260:Female; D006801:Humans; D012002:Rectal Diseases / Q000175:diagnosis / Q000209:etiology*; D012007:Rectum / Q000000981:diagnostic imaging; D013577:Syndrome; D013851:Thinness / Q000150:complications; D014456:Ulcer / Q000175:diagnosis / Q000209:etiology*
keywords: Solitary Rectal Ulcer Syndrome; anorexia nervosa; eating disorders; gastrointestinal complications; inpatient treatment