Successful endoscopic diagnosis and treatment of blue rubber bleb nevus syndrome

A young man presented with a two-year history of recurrent melena. Several dark-blue elevated skin lesions had been on his right hand and head ([Fig. 1]). The nodules were soft and compressible, and some of them seemed to have lacunae divided by white linear structures. Pathologic examination after a surgical resection two years ago confirmed the lesions as “cavernous hemangioma.” No one in his immediate family had a related vascular...