Abstract

Raj Majithia MD, Michael Gold MD FAGA

We present a case of a 22 year old female who presented to the hospital with abdominal pain and iron deficiency anemia. She had an esophagogastroduodenoscopy (EGD) that revealed blue rubber bled nevus syndrome (BRBNS), a rare condition characterized by multiple relapsing and remitting cutaneous venous malformations in association with visceral lesions most commonly affecting the GI tract. In 1860, Gascoyen first described an association between cavernous hemangiomas of the skin and similar lesions in the GI tract. In 1958, Bean further described these lesions and coined the term blue rubber bleb nevus syndrome. Chronic iron deficiency anemia is the most common complication. The patient’s abdominal pain and anemia were due to the intraluminal thrombus from a previously bleeding bleb. She recovered from the hospitalization and has been undergoing repeated transfusions to correct her anemia.