Lee Soo Jin, Lee Ho-Young, Jung Kyuwhan, Kim Sang Eun
Department of Nuclear Medicine, Seoul National University Bundang Hospital, 173-82 Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do 463-707 South Korea.
Department of Pediatric surgery, Seoul National University College of Medicine, Seoul, South Korea.
Nucl Med Mol Imaging. 2013 Jun;47(2):115-8. doi: 10.1007/s13139-013-0199-3. Epub 2013 Apr 17.
Blue rubber bleb nevus syndrome (BRBNS) is a rare disorder characterized by cutaneous and gastrointestinal vascular malformations. We report here the case of a 13-year-old patient with BRBNS who was suffering from chronic anemia. His chief complaint was melena. Contrast-enhanced abdominal computed tomography showed multiple hemangiomas in the small bowel. (99m)Tc-labeled red blood cell (RBC) scan identified the bleeding sites in the small bowel. The patient underwent exploratory laparotomy with segmental resection and multiple wedge resection of the small bowel. The pathological results confirmed the multiple cavernous hemangiomas. This case confirms the critical role of the (99m)Tc-labeled RBC scan in localizing the bleeding sites in patients with BRBNS.
蓝色橡皮疱痣综合征（BRBNS）是一种罕见的疾病，其特征为皮肤和胃肠道血管畸形。我们在此报告一例13岁患有BRBNS且患有慢性贫血的患者。他的主要症状是黑便。腹部增强计算机断层扫描显示小肠有多个血管瘤。（99m）锝标记红细胞（RBC）扫描确定了小肠的出血部位。该患者接受了剖腹探查术，并行小肠节段切除和多处楔形切除。病理结果证实为多发性海绵状血管瘤。该病例证实了（99m）锝标记RBC扫描在定位BRBNS患者出血部位中的关键作用。
