Blue rubber bleb nevus syndrome: extensive small bowel vascular lesions responsible for gastrointestinal bleeding

Mohammed Y Hasosah, Ahmed A Abdul-Wahab, Solaiman A Bin-Yahab, Abdullah A Al-Rabeaah, Mahmoud M Rimawi, Yousif A Eyoni, Mohamed B Satti
Journal of Paediatrics and Child Health 2010, 46 (1-2): 63-5
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.

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