Korean J Pediatr Gastroenterol Nutr.
2008 Sep;11(2):198-203.
A Case of Blue Rubber Bleb Nevus Syndrome
- Affiliations
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- 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
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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.