Korean J Pediatr Gastroenterol Nutr.  2008 Sep;11(2):198-203.

A Case of Blue Rubber Bleb Nevus Syndrome

Affiliations
  • 1Department of Pediatrics, Cheju National University College of Medicine, Jeju, Korea.
  • 2Department of Pediatrics, Seoul National UniversityCollege of Medicine, Seoul, Korea. jkseo@snu.ac.kr
  • 3Department of Surgery, Seoul National UniversityCollege of Medicine, Seoul, Korea.
  • 4Department of Pathology, Seoul National UniversityCollege of Medicine, Seoul, Korea.
  • 5Department of Radiology, Seoul National UniversityCollege of Medicine, Seoul, Korea.

Abstract

We report a 10-year-old girl with the blue rubber bleb nevus syndrome (BRBNS) who had chronic severe anemia caused by chronic occult bleeding in the gastrointestinal (GI) tract. The patient was admitted to the hospital frequently for recurrent pallor and fatigue since the age of 7 years. Gastroduodenoscopy and capsule endoscopy revealed multiple venous malformations with blood oozing in the stomach, small bowel and colon. The patient was treated by aggressive surgical resection of the 23 vascular malformations in the GI tract. The patient is well without anemia 15 months post surgery.

Keyword

Blue rubber bleb nevus syndrome; Gastrointestinal bleeding; Vascular malformation

MeSH Terms

Anemia
Blister
Capsule Endoscopy
Child
Colon
Fatigue
Gastrointestinal Neoplasms
Gastrointestinal Tract
Hemorrhage
Humans
Nevus
Nevus, Blue
Pallor
Rubber
Skin Neoplasms
Stomach
Vascular Malformations
Gastrointestinal Neoplasms
Nevus, Blue
Rubber
Skin Neoplasms
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