Rectal blue nevus: Case report of a rare entity and literature review
Jasbir Makker1, Sailaja Sakam2, Prasanthi Arety2
1Division of Gastroenterology, Bronx Lebanon Hospital Center, Albert Einstein College of Medicine of Yeshiva University, 1650 Grand Concourse, Bronx, NY 10457, United States; Department of Medicine, Bronx Lebanon Hospital Center, Albert Einstein College of Medicine of Yeshiva University, 1650 Grand Concourse, Bronx, NY 10457, United States.
Abstract:
Blue nevus, a pigmented skin lesion, affects the dermal melanocytes that are rich in melanin. Its occurrence on skin has been well described in literature. Less commonly, involvement of mucosal surfaces especially genitourinary tract has also been noticed. Here we present a rare case of a blue nevus involving the rectum. So far there has been only one prior description of the blue nevus involving the gastrointestinal mucosa. Differentiation of this lesion from melanoma is the key. Simple excision of the blue nevus with a biopsy forceps during the colonoscopy is an effective management.
