Blue rubber bleb nevus syndrome: A rare cause of chronic gastro intestinal bleed in children

Blue rubber bleb nevus syndrome (BRBNS) is a rare congenital disorder presenting with multifocal venous malformations of the skin, soft tissues, and gastrointestinal (GI) tract. Here, we report a case of a 10-year-old girl who presented with recurrent lower GI bleeding and abdominal pain requiring repeated blood transfusion for 2 years. A contrast computed tomography showed multiple cavernous haemangiomas in the liver, oesophagogastroduodenoscopy and colonoscopy showed multiple hemangiomas from esophagus to large bowel. Her molecular pathology confirmed BRBNS. She underwent endoscopic argon plasma coagulation with uneventful recovery. In spite of a wide range of therapeutic options for the management of BRBNS described in the literature, the efficacy of those available therapies, including surgical excision, is not well established.

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Argon plasma coagulation therapy for lower GI bleeding due to radiation proctosigmoiditis

Digestive and Liver Disease ◽

10.1016/s1590-8658(01)80327-3 ◽

2001 ◽

Vol 33 ◽

pp. A44 ◽

Cited By ~ 1

Author(s):

M.A. Bianco ◽

G. Rotondano ◽

R. Marino ◽

R. Piscopo ◽

L. Cipolletta

Keyword(s):

Argon Plasma Coagulation ◽

Argon Plasma ◽

Gi Bleeding ◽

Plasma Coagulation ◽

Coagulation Therapy ◽

Lower Gi Bleeding

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Endoscopic argon plasma coagulation for the management of solid, centrally located lung cancer

Archive of oncology ◽

10.2298/aoo0704094z ◽

2007 ◽

Vol 15 (3-4) ◽

pp. 94-96 ◽

Cited By ~ 1

Author(s):

Bojan Zaric ◽

Vukasin Canak ◽

Aleksandar Milovancev ◽

Goran Stojanovic ◽

Gordana Balaban

Keyword(s):

Lung Cancer ◽

Airway Obstruction ◽

Soft Tissues ◽

Early Stage ◽

Main Bronchus ◽

Argon Plasma Coagulation ◽

Argon Plasma ◽

Early Stage Lung Cancer ◽

Plasma Coagulation ◽

The Right

Argon plasma coagulation (APC) is one of the interventional pulmonology techniques primarily aimed at the treatment of hemoptysis. It represents a form of non contact electrosurgey that uses ionized argon gas in order to produce electrical current that affects soft tissues. APC is reported to be effective in the treatment of early stage lung cancer, in the treatment of benign granulation tissue surrounding tracheal stents and in palliative treatment of malignant airway obstruction. Major indication for APC is hemostasis in severe hemoptysis, it can also be used as an alternative technique for laser resection or electrocautery, in urgent removal of tumors situated in large airways. The present article reports successful use of APC in the treatment of centrally located squamous cell lung cancer that caused complete right lung atelectasis. The use of APC led to complete reexpansion of the right lung and improvement in dyspnoea and chest discomfort of the patient. Significant improvement was observed in lung function parameters and blood gas analysis. With the use of APC solid tumor was completely removed from the right main bronchus and airway integrity was restored. From this case we can conclude that APC can be safely and successfully used for urgent debulking of malignant central airway obstruction.

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The efficacy and safety of argon plasma coagulation in the management of polyps remnants in stomach and colon

Gastroenterology ◽

10.1016/s0016-5085(01)81276-2 ◽

2001 ◽

Vol 120 (5) ◽

pp. A258-A258

Author(s):

B NENEMAN ◽

G BOMBSKI ◽

E MALECKAPANAS

Keyword(s):

Argon Plasma Coagulation ◽

Argon Plasma ◽

Efficacy And Safety ◽

Plasma Coagulation

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Endoscopic mucosal resection for recurrent gastric antral vascular ectasia

VASA ◽

10.1024/0301-1526.37.3.289 ◽

2008 ◽

Vol 37 (3) ◽

pp. 289-292 ◽

Cited By ~ 5

Author(s):

Katsinelos ◽

Chatzimavroudis ◽

Katsinelos ◽

Panagiotopoulou ◽

Kotakidou ◽

...

Keyword(s):

Endoscopic Mucosal Resection ◽

Argon Plasma Coagulation ◽

Argon Plasma ◽

Deficiency Anemia ◽

Gastric Antral Vascular Ectasia ◽

Therapeutic Approaches ◽

Plasma Coagulation ◽

Vascular Ectasia ◽

Mucosal Resection ◽

First Case

Gastric antral vascular ectasia (GAVE) is an overt or occult source of gastrointestinal bleeding. Despite several therapeutic approaches have been successfully tested for preventing chronic bleeding, some patients present recurrence of GAVE lesions. To the best of our knowledge, we report the first case, of a 86-year-old woman who presented severe iron-deficiency anemia due to GAVE and showed recurrence of GAVE lesion despite the intensive argon plasma coagulation treatment. We performed endoscopic mucosal resection of bleeding GAVE with resolution of anemia.

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