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Bazzell, Anya; Williams, Samantha; Turner, Jacquelyn; Chase, Ayana; Clark, Clarence E.
The American surgeon, 09/2019, Volume: 85, Issue: 9Journal Article
First defined in 1860 by Gascoyen, blue rubber bleb nevus syndrome (BRBNS) is a rare congenital anomaly characterized by blood loss.1 This disorder became more well known in 1958 when William Bennett Bean named the disease bean syndrome.1 BRBNS is defined as a vascular disorder in which dilated venous tissue develops within a thin layer of endothelial cells.1 This rare condition consists of blue nevi that range in size from a few millimeters to several centimeters in diameter. During colonoscopy, she was found to have cecal and right colon raised nodules that were bluish in hue and blanched on compression using forceps. Because of the vascular nature of the nodule, biopsy or snare was not performed. Endoscopic sclerotherapy and band ligation are also used for cases of significant bleeding.1 Resection serves as the best treatment method when numerous lesions accompany a local disease.1 A noninvasive treatment approach should be the first-line option for addressing BRBNS.1 if there is no bleeding from the lesions, BRBNS can be closely observed. Because our patient was asymptomatic with few lesions, we opted to closely observe with routine endoscopy.
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