Blue rubber bleb nevus syndrome is a rare disorder characterized by distinc
tive cutaneous and gastrointestinal venous malformations that usually cause
massive or occult gastrointestinal hemorrhage and iron deficiency anemia s
econdary to the bleeding episodes. It is even a rare cause of gastrointesti
nal hemorrhage during childhood. We describe a 6-year-old boy who had multi
ple venous malformations all over his body. He also suffered from several e
pisodes of melena, chronic anemia, and growth retardation. The endoscopic e
xamination of the gastrointestinal tract revealed multiple bluish-black ses
sile and polypoid venous malformations in various sizes. It was possible to
remove the largest venous malformations causing massive bleeding during co
lonoscopy.