Wang Yuanjie, Zhao Xiaojun, You Xiaolan
Department of Gastroenterology Surgery, Taizhou People's hospital, Taizhou, China.
Pan Afr Med J. 2014 Mar 17;17:212. doi: 10.11604/pamj.2014.17.212.3598. eCollection 2014.
Blue Rubber Bleb Nevus Syndrome (BRBNS) is an uncommon congenital disorder characterized by sporadic venous malformation which mainly occurs in skin and alimentary canal. Here, we report a BRBNS patient with concomitant intestinal intussusception who diagnosed by intraoperative endoscopy and ultimately managed using surgical resection. A 19-year-old boy was referred to urgent surgery for acute melena and stomachache. He had used to be a long-term iron user for undiagnosed chronic anemia and papules. Abdominal CT on admission demonstrated the presence of intestinal intussusception. The following exploratory laparotomy and intraoperative endoscopy revealed multiple gastrointestinal hemangiomas. The postoperative course was uneventful and pathological examination certified multiple cavernous hemangiomas in the resected gastrointestines.
蓝色橡皮疱痣综合征(BRBNS)是一种罕见的先天性疾病,其特征为散发性静脉畸形,主要发生于皮肤和消化道。在此,我们报告1例伴有肠套叠的BRBNS患者,该患者通过术中内镜检查得以确诊,并最终接受了手术切除治疗。一名19岁男孩因急性黑便和腹痛被转诊至急诊外科。他曾长期使用铁剂治疗未确诊的慢性贫血和丘疹。入院时的腹部CT显示存在肠套叠。随后的剖腹探查术和术中内镜检查发现了多个胃肠道血管瘤。术后过程顺利,病理检查证实切除的胃肠道中有多个海绵状血管瘤。