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Middle East Journal of Digestive Diseases، جلد ۱۳، شماره ۲، صفحات ۱۵۳-۱۵۹
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چکیده فارسی مقاله
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عنوان انگلیسی Blue Rubber Bleb Nevus Syndrome because of 12 Years of Iron Deficiency Anemia in a Patient by Double Balloon Enteroscopy; A Case Report and Review of Literature
چکیده انگلیسی مقاله Blue rubber bleb nevus syndrome (BRBNS) is a rare disorder comprised of venous malformation mostly involving the skin and gastrointestinal (GI) tract but can also involve other visceral organs. The most predominant site of GI tract involvement is the small bowel. In patients with GI lesions, treatment depends on the severity of bleeding, and extent of involvement. Conservative therapy with iron supplementation and blood transfusion is appropriate in cases with mild bleeding but in severe cases endoscopic and surgical interventions would be beneficial. Also, medical therapy with sirolimus significantly reduces bleeding. A 20-year-old woman was referred to our hospital after transfusion of six units of packed cell because of several episodes of lower GI bleeding within the past three months in the form of melena and a single episode of hematochezia. Her last hemoglobin level before admission was 10mg/dl. She underwent various unsuccessful investigations since she was eight years old to find the origin of refractory iron deficiency anemia. In upper endoscopy, five bleeding polypoid lesions were discovered in the jejunum. Lesions were excised by snare polypectomy. Over a six-month follow-up period, no signs of lower GI bleeding were noted and the patient had a normal hemoglobin level.
کلیدواژه‌های انگلیسی مقاله Blue rubber bleb nevus syndrome,Double balloon enteroscopy,Submucosal dissection,Endoscopy,Anemia,Small bowel
نویسندگان مقاله | Arash Dooghaie Moghadam
Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Mohammad Bagheri
Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran


| Pegah Eslami
Liver Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran


| Ermia Farokhi
Gastroenterology and Hepatobiliary Research Center, AJA University of Medical Sciences, Tehran


| Amir Nezami Asl
Gastroenterology and Hepatobiliary Research Center, AJA University of Medical Sciences, Tehran


| Karim Khavaran
Gastroenterology and Hepatobiliary Research Center, AJA University of Medical Sciences, Tehran, Iran Research Center for Cancer Screening and Epidemiology, AJA University of Medical Sciences, Tehran, Iran


| Shahrokh Iravani
Gastroenterology and Hepatobiliary Research Center, AJA University of Medical Sciences, Tehran, Iran


| Sandra Saeedi
Research Center for Cancer Screening and Epidemiology, AJA University of Medical Sciences, Tehran, Iran


| Azim Mehrvar
Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran


| Masoud Dooghaie-Moghadam


نشانی اینترنتی http://mejdd.org/index.php/mejdd/article/view/2228
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Case Report
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