PMC3959436_01
(A) Polypoid Blue Rubber lesion of splenic flexure. (B, C) Endoloop insertion in large bowel lesion. (D) Polypoid Blue Rubber lesion of small bowel. (E,F) Band ligation of small bowel lesions
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F1
At colonoscopy, two bluish pedunculated angiectatic polypoid lesions (1 to 2 cm in diameter) were noted due to BRBNS (Fig. 1A). We performed enteroscopy to approach the jejunal lesions (Fig. 1D). All lesions were ligated in one session using the band ligation technique with a multi-band ligator device (Fig. 1E, F). A colonoscopy was performed and detachable snares - endoloops were inserted at the colonic lesions (Fig. 1B, C).
Histopathological section (H-E stain x 200)
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F2
Histopathological examination revealed submucosal large blood-filled spaces lined by a single layer of endothelial cells with presence of some thrombi in the cavernous spaces (Fig. 2).
Posttreatment scars in (A) small bowel and (B) large bowel
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F3
No bleeding or new venous malformations were observed (Fig. 3).