A 19-Year-old Female with Blue Rubber Bleb Nevus Syndrome

M. Shahed; F. Hagenmüller; Th. Rösch; M. Classen; A. Encke; J. R. Siewert; M. I. Ysawy; M. Al Karawi

doi:10.1055/s-2007-1012789

Endoscopy 1990; 22(1): 54-56
DOI: 10.1055/s-2007-1012789

A 19-Year-old Female with Blue Rubber Bleb Nevus Syndrome

Endoscopic Laser Photocoagulation and Surgical Resection of Gastrointestinal AngiomataM. Shahed¹ , F. Hagenmüller² , Th. Rösch² , M. Classen² , A. Encke³ , J. R. Siewert⁴ , M. I. Ysawy¹ , M. Al Karawi¹

¹Division of Gastroenterology, Riyadh Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia
²Department of Internal Medicine II, Technische Universität, München
³Department of General Surgery, Klinikum der Johann-Wolfgang-Goethe-Universität, Frankfurt am Main
⁴Department of Surgery, Technische Universität, München

Abstract

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Summary

A case of a blue rubber bleb nevus syndrome in a 19-year-old female patient with multiple cutaneous and gastrointestinal hemangiomata is described. Recurrent GI bleeding resulted in severe chronic anemia, which was successfully treated by endoscopic laser photocoagulation and surgical resection. Both forms of therapy had to be repeated 4 years later, the patient having been well in the meantime. This combined endoscopic and surgical approach might also improve the survival of patients with severe GI hemorrhage due to blue rubber bleb nevus syndrome.

Key words:

Blue rubber bleb nevus - GI tract - Endoscopy - Laser photocoagulation - Surgical resection

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