Features of the diagnostics and treatment of a rare source of small bowel bleeding — venous malformations of the small bowel with Blue rubber bleb nevus syndrome (Bean’s syndrome)
https://doi.org/10.31146/1682-8658-ecg-175-3-108-112
Abstract
The aim of the study is to demonstrate the possibilities of enteroscopy in diagnostics of rare source of small bowel bleeding in patient with blue rubber blue nevus syndrome.
A 31-years old patient with severe anemia from the early age applied to our Hospital to diagnose the source of gastrointestinal bleeding. Previously performed EGD and colonoscopy didn’t reveal any sources of bleeding. Scintigraphy detected the signs of ongoing intestinal bleeding. Endoscopic methods (videocapsule and balloon-assisted enteroscopy) revealed multiple venous malformations of small bowel, as the source of gastrointestinal bleeding of «unknown source». The patient was performed surgery — resection of segments of small bowel with malformations. The diagnosis was verified morphologically. Postoperative period was without complications. For the first time in several years the patient had a fully restored level of hemoglobin.
About the Authors
E. V. Ivanova
Pirogov Russian National Research Medical University; “Klinika K+31 Petrovskie vorota”
Russian Federation
Russian Federation
Ekaterina V. Ivanova, MD, PhD, Dr. of Med. Science, chief researcher of department of surgical gastroenterology and endoscopy; Head of the department of endoscopy
Moscow, 117997, Ostrovityanova street, 1; Moscow, 127021, 1 st Kolobovskyi per, 4
E. V. Tikhomirova
Pirogov Russian National Research Medical University; Hospital № 17, Moscow; Lomonosov Moscow State University
Russian Federation
Russian Federation
Ekaterina V. Tikhomirova, PhD candidate of the department of General and Specialized Surgery, Faculty of basic medicine; Junior researcher of department of surgical gastroenterology and endoscopy
Moscow, 117997, Ostrovityanova street, 1; Moscow, 119620, Volinskaya street, 7; Moscow, 119192, Lomonosovskyi prospect, 27–1
S. G. Shapovalyants
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Sergey G. Shapovalyants, professor, M. D, PhD, Dr. of Med. Science, head of department of surgical gastroenterology and endoscopy
Moscow, 117997, Ostrovityanova street, 1
E. D. Fedorov
Pirogov Russian National Research Medical University; Hospital № 31, Moscow
Russian Federation
Russian Federation
Evgeni D. Fedorov, professor, M. D, PhD, Dr. of Med. Science, chief researcher of department of surgical gastroenterology and endoscopy; Clinical head of the department of endoscopy
Moscow, 117997, Ostrovityanova street, 1; Moscow, 119415, Lobachevskogo street 42–1
L. M. Mikhaleva
Hospital № 31, Moscow; Research Institute of human morphology
Russian Federation
Russian Federation
Ludmila M. Mikhaleva, professor, M.D, PhD, Dr. of Med. Science, chief of clinical pathology laboratory; Clinical head of the department of morbid anatomy
Moscow, 119415, Lobachevskogo street 42–1; Moscow, 117418, Tsyurupy street, 3
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Review
For citations:
Ivanova E.V., Tikhomirova E.V., Shapovalyants S.G., Fedorov E.D., Mikhaleva L.M. Features of the diagnostics and treatment of a rare source of small bowel bleeding — venous malformations of the small bowel with Blue rubber bleb nevus syndrome (Bean’s syndrome). Experimental and Clinical Gastroenterology. 2020;(3):108-112. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-175-3-108-112
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