We report a 16-year-old Indian boy diagnosed with Blue Rubber Bleb Nevus syndrome, which is a rare venous malformation that goes overlooked in most case scenarios. He had presented with long standing history of fatigue, melena with a past history of surgery for a vascular malformation and also had multiple bluish skin plaques. He was evaluated and was found to have iron deficiency anemia. Considering the history of melena, upper GI endoscopy was done, which revealed multiple vascular malformations, and so did colonoscopy. Patient was offered multidisciplinary team (MDT) approach involving Internal Medicine, Gastroenterology, Dermatology and Plastic surgery