내시경적 밴드 결찰술과 용종 절제술로 치료한 Blue Rubber Bleb Nevus Syndrome 1예
A Case of Blue Rubber Bleb Nevus Syndrome Treated by Endoscopic Band Ligation and Endoscopic Polypectomy
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Blue rubber bleb nevus syndrome (BRBNS)은 피부와 위장관의 다발성 혈관 기형을 특징으로 하는 드문 질환으로, 위장관 출혈 및 만성 빈혈과 관련이 있으며 치명적인 심각한 출혈까지 야기할 수 있다. 저자들은 만성 빈혈과 허벅지와 어깨의 피부에 혈관종으로 수술 받은 병력이 있는 20세 남자의 내시경 검사에서 위에 자주색을 띤 하나의 혈관종과 대장에 푸른색을 띤 수 개의 혈관종을 발견하였으며 BRBNS로 진단 하였다. 저자들은 특별한 합병증 없이 내시경적 밴드 결찰술 및 용종 절제술로 위장관의 혈관종을 치료하였으며 국내에서는 처음으로 내시경적 밴드 결찰술로 치료한 BRBNS에서의 위장관 혈관종을 경험하여 보고한다.
Abstract
Blue rubber bleb nevus syndrome (BRBNS) is a rare disorder that is characterized by multiple cutaneous vascular malformations in the skin and gastrointestinal tract and is associated with intestinal hemorrhage and iron deficiency anemia. This syndrome may induce severe or fatal bleeding; however, the causes of this syndrome are unknown. We report here a case of BRBNS that was diagnosed in a 20-year-old male with chronic anemia and a past history of surgery due to cutaneous hemangioma on the shoulder and thigh. One purplish hemangioma on the stomach and multiple bluish hemangiomas on the colon were noted on the endoscopic examination. We successfully treated the GI hemangioma with endoscopic band ligation and endoscopic polypectomy.
참고문헌 (19)
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