Blue rubber bleb nevus syndrome: extensive small bowel vascular lesions responsible for gastrointestinal bleeding.
Blue Rubber Bleb Nevus Syndrome is a rare condition characterised by multiorgan venous malformations, in particular of cutaneous area and the gastrointestinal (GI) tract. We report here a child with chronic iron deficiency anaemia, melena and skin lesions. She had severe hypochromic microcytic anaemia. Upper and lower endoscopy revealed hundreds of red-bluish polypoid lesions involving the entire GI tract primarily of the small bowel. Due to localisation of the most severe lesions, the patient responded well to surgical treatment, allowing a sustained clinical remission.
Hasosah
Mohammed Y
MY
Department of Pediatric Gastroenterology, King Abdulaziz Medical City, National Guard Hospital, Jeddah, Saudi Arabia. hasosah2007@yahoo.com
Abdul-Wahab
Ahmed A
AA
Bin-Yahab
Solaiman A
SA
Al-Rabeaah
Abdullah A
AA
Rimawi
Mahmoud M
MM
Eyoni
Yousif A
YA
Satti
Mohamed B
MB
D002648:Child; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D006801:Humans; D007421:Intestine, Small / Q000503:physiopathology*; D018329:Nevus, Blue / Q000188:drug therapy / Q000473:pathology*; D012878:Skin Neoplasms / Q000503:physiopathology*