Maunoury V, Turck D, Brunetaud J M, Marti R, Cortot A, Farriaux J P, Paris J C
Centre de Traitement par Laser, CHR, Lille.
Gastroenterol Clin Biol. 1990;14(6-7):593-5.
This report concerns three patients with "blue rubber bleb nevus syndrome" presenting with recurrent digestive tract hemorrhage. Tuberous angiomas of the digestive tract associated with typical skin lesions as described by Bean led to diagnosis. Endoscopic coagulation with Nd:YAG laser and bipolar electrocoagulation "Bicap" of gastric and colonic angiomas was performed successfully without complication but did not avoid hemorrhagic recurrence originating from lesions located in the small bowel, as demonstrated during laparotomy in one case.
本报告涉及三名患有“蓝色橡皮疱痣综合征”并伴有反复消化道出血的患者。正如Bean所描述的，消化道的结节状血管瘤与典型的皮肤病变相关，据此得以诊断。对胃和结肠血管瘤成功实施了用钕钇铝石榴石激光和“Bicap”双极电凝进行的内镜下凝固术，未出现并发症，但未能避免源于小肠病变的出血复发，有一例在剖腹手术中得到证实。
