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首页> 外文期刊>Case Reports in Surgery >Blue Rubber Bleb Nevus Syndrome as a Cause of Lower Digestive Bleeding
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Blue Rubber Bleb Nevus Syndrome as a Cause of Lower Digestive Bleeding

机译：蓝色橡胶小脑痣综合征是导致下消化道出血的原因

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Introduction. Blue rubber bleb nevus syndrome is a rare disorder that is characterized by multiple recurrent vascular malformations that involve the skin and the gastrointestinal tract. The disease can present chronic anemia and severe episodes of gastrointestinal bleeding.Case Report. A 41-year-old man was admitted with recurrent episodes of lower gastrointestinal bleeding and anemia that had worsened over the last 3 months. The physical examination showed soft, diffuse, compressible, bluish nodules on all of the skin surfaces of the body. A biopsy from one of these skin lesions allowed a histological diagnosis of cavernous hemangioma. He submitted to a colonoscopy, which showed hemorrhoids and a plane vascular lesion mainly located on the right colon with recent signs of bleeding; this lesion was treated by local excision and sclerosis. The pathological study of the colon specimens also reflected the presence of cavernous hemangioma. The cutaneous hemangiomas and the presence of colonic venous malformations were compatible with blue rubber bleb nevus syndrome. The patient presented a favorable follow-up with clinical control of the anemia and without relapse of the gastrointestinal bleeding two years after the procedure.Conclusion. Although rarely diagnosed, blue rubber bleb nevus syndrome may be responsible for lower digestive bleeding.
机译：介绍。蓝色橡胶泡痣综合征是一种罕见疾病，其特征是涉及皮肤和胃肠道的多发性复发性血管畸形。该病可表现为慢性贫血和严重的胃肠道出血。一名41岁的男子因下消化道出血和贫血的反复发作而入院，在过去3个月中恶化了。体格检查发现，人体所有皮肤表面均出现柔软，弥漫，可压缩的蓝色结节。这些皮肤病变之一的活检可以组织学诊断为海绵状血管瘤。他接受了结肠镜检查，发现痔疮和平面血管病变主要位于右结肠，最近有出血迹象。通过局部切除和硬化治疗该病灶。结肠标本的病理学研究也反映了海绵状血管瘤的存在。皮肤血管瘤和结肠静脉畸形的存在与蓝色橡胶泡痣综合征相容。术后两年，患者进行了良好的随访，对贫血进行了临床控制，并且没有复发胃肠道出血。尽管很少被诊断出，但蓝色橡胶泡痣综合征可能是导致消化道出血减少的原因。

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