O'Kelly Fardod, Lim Kheng Tian, Ravi Narayanasamy, Mahmud Nasir, Reynolds John V
Department of Clinical Surgery, Trinity Centre, St James's Hospital, Dublin 8, Ireland.
Cases J. 2010 Jan 18;3:29. doi: 10.1186/1757-1626-3-29.
Blue rubber bleb naevus syndrome is a rare vascular disorder associated with multiple gastrointestinal haemangiomas that have the potential for life-threatening haemorrhage. These may be difficult to diagnose, and have classically been described using computed tomographic studies and/or mesenteric angiography. Resected surgical specimens of these lesions, especially in the small bowel, have often been extensive and poorly localized. The recent advent and progressive development of double balloon enteroscopy has allowed the direct visualization and marking of these enteric lesions and serves as a valuable adjunct not only in diagnosis but also planning prior to surgery to allow accurate estimate of the extent of resection.
蓝色橡皮疱痣综合征是一种罕见的血管疾病,与多个有潜在危及生命出血风险的胃肠道血管瘤相关。这些血管瘤可能难以诊断,传统上通过计算机断层扫描研究和/或肠系膜血管造影来描述。这些病变的手术切除标本,尤其是小肠部位的,往往范围广泛且定位不佳。双气囊小肠镜的近期出现和不断发展,使得这些肠道病变能够直接可视化并标记,不仅在诊断中而且在手术前规划中都是一种有价值的辅助手段,有助于准确估计切除范围。