蓝橡皮疱痣综合征致小肠出血

Blue Rubber Bleb Nevus Syndrome Causing Small Bowel Bleeding.

作者信息

Romanello Daniele, De Meo Emanuele, Molinario Francesco, Rotunno Sara, Valente Costanzo

机构信息

Internal Medicine, Ospedale San Pietro Fatebenefratelli, Rome, Italy.

Unit of Anesthesia And Intensive Care, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.

出版信息

Dig Dis Sci. 2025 Jan;70(1):1-3. doi: 10.1007/s10620-024-08752-8. Epub 2024 Nov 18.

DOI:10.1007/s10620-024-08752-8

PMID:39557791

Abstract

A 79-year-old man with fatigue and melena was diagnosed with severe iron-deficiency anemia. Capsule endoscopy revealed submucosal vascular lesions in the jejunum and active bleeding in the ileum, consistent with Blue Rubber Bleb Nevus Syndrome (BRBNS). Exploratory laparoscopy led to the resection of a 120 cm intestinal segment, confirming the diagnosis. Figures show the resected section and vascular anomalies.

摘要

一名79岁男性，伴有疲劳和黑便，被诊断为重度缺铁性贫血。胶囊内镜检查显示空肠黏膜下血管病变及回肠活动性出血，符合蓝色橡皮疱痣综合征（BRBNS）。 exploratory laparoscopy导致切除一段120厘米的肠段，确诊。图中显示了切除的肠段和血管异常。（注：原文中“Exploratory laparoscopy”可能有误，推测为“Exploratory laparotomy”，即剖腹探查术）