Unusual Cause and Association of Gastrointestinal Bleed in a Young Boy

ABSTRACT A 4-year old child, previously operated case of tetralogy of Fallot present with recurrent episodes of massive lower gastrointestinal bleed of one year duration. Endoscopic evaluation revealed multiple bluish vascular lesions in the duodenum and proximal jejunum and a single rectal polyp. H...

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Bibliographic Details
Published in:Journal of digestive endoscopy 2017-07, Vol.8 (3), p.142-144
Main Authors: Srikanth, K. P., Thapa, B. R., Kanojia, Ravi Prakash, Vaiphei, Kim, Lal, Sadhna B., Menon, Jagadeesh V., Das, Subhamoy
Format: Article
Language:English
Subjects:
blue rubber bleb nevus
Case Report
child
gastrointestinal bleed
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Summary:ABSTRACT A 4-year old child, previously operated case of tetralogy of Fallot present with recurrent episodes of massive lower gastrointestinal bleed of one year duration. Endoscopic evaluation revealed multiple bluish vascular lesions in the duodenum and proximal jejunum and a single rectal polyp. Histology of the lesion was suggestive of venous malformation consistent with blue rubber bleb nevus syndrome (BRBNS). Child underwent endoscopic snaring and surgical resection with end to end anastomosis. At six months’ follow-up child was asymptomatic without any bleed episodes.
ISSN:0976-5042
0976-5050
DOI:10.4103/jde.JDE_72_16