Ng W T, Kong C K
Department of Surgery, Yan Chai Hospital, Tsuen Wan, Hong Kong, China.
Eur J Pediatr Surg. 2003 Apr;13(2):137-9. doi: 10.1055/s-2003-39582.
We report on the case of an 8-month-old baby with blue rubber bleb nevus syndrome (BRBNS) presenting with recurrent bleeding from multiple haemangiomas in the colon and rectum. Treatment with Argon plasma coagulation resulted in long-term success. Our case is unique in that 1) it is the first documented case treated by argon plasma coagulation; 2) it is only the second case in the world literature with involvement of the genital tract; 3) it is the youngest patient treated endoscopically to date; 4) it is the endoscopically treated case with the longest follow-up; 5) it represents the second case of BRBNS reported from this part of the world; and 6) it expands the spectrum of mucosal lesions amenable to this new form of treatment. Argon plasma coagulation is a simple, inexpensive and effective treatment for selected lesions in BRBNS.
我们报告了一例8个月大患有蓝色橡皮疱痣综合征（BRBNS）的婴儿，其结肠和直肠的多个血管瘤反复出血。氩离子凝固术治疗取得了长期成功。我们的病例具有独特性，因为：1）这是首例有文献记载采用氩离子凝固术治疗的病例；2）这是世界文献中第二例累及生殖道的病例；3）这是迄今为止接受内镜治疗的最年轻患者；4）这是内镜治疗随访时间最长的病例；5）这是世界上该地区报道的第二例BRBNS病例；6）它扩大了适合这种新治疗方式的黏膜病变范围。氩离子凝固术是治疗BRBNS中特定病变的一种简单、廉价且有效的方法。
