Blue rubber bleb nevus syndrome

Discussion:

Blue rubber bleb nevus syndrome (BRBNS) is an extremely rare, mostly sporadic, condition. Exemplified in this case are the multiple venous malformations and associated spontaneous bleeding. The most common site of bleeding is the small bowel, which can be either occult or frank, even massive. In case of worsening anemia or bloody stools, BRBNS patients undergo further diagnostic and therapeutic imaging examinations (CT enterography, Tc 99m-labeled RBC SPECT, capsule endoscopy, gastro-entero-colonoscopy, and angiography). In certain cases, surgery must be performed to control bleeding.

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