Korean J Obstet Gynecol.  2012 Feb;55(2):119-122. 10.5468/KJOG.2012.55.2.119.

Pregnancy in woman with Klippel-Trenaunay syndrome: A case report

Affiliations
  • 1Department of Obstetrics and Gynecology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. jeon285@paik.ac.kr
  • 2Department of Pathology, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Abstract

The Klippel-Trenaunay syndrome is rare congenital disease characterized by a triad of cutaneous vascular malformations, varicose veins, and hypertrophy of bone and soft tissue. Although several cases of pregnancy in women with Klippel-Trenaunay syndrome were reported as there may be increased risk of pregnancy- and/or delivery-associated complications such as varicosities, thromboembolism and hemorrhage, there is little general information regarding how to deal with pregnancy in patients with Klippel-Trenaunay syndrome and their obstetric outcome. We describe the case of a woman suffering from Klippel-Trenaunay syndrome delivering a healthy child with a brief review of concerned literature.

Keyword

Klippel-Trenaunay syndrome; Pregnancy; Complications

MeSH Terms

Child
Female
Hemorrhage
Humans
Hypertrophy
Klippel-Trenaunay-Weber Syndrome
Pregnancy
Stress, Psychological
Thromboembolism
Varicose Veins
Vascular Malformations

Figure

  • Fig. 1 The swollen and slightly enlarged right leg was seen at 7 weeks of pregnancy age. Cutaneous capillary hemangiomas and varicose veins were extended on the medial and dorsal side of the right leg.

  • Fig. 2 Transvaginal sonography reveals a 27 × 15 mm sized subchorionic hemorrhage during 1st trimester of pregnancy without definite hemangiomas around uterus.

  • Fig. 3 Fibrin thrombi in fetal chorionic vessels were found in the placental biopsy (H&E, ×100).


Reference

1. Samimi M, Lorette G. Klippel-Trenaunay syndrome. Presse Med. 2010. 39:487–494.
2. Gloviczki P, Stanson AW, Stickler GB, Johnson CM, Toomey BJ, Meland NB, et al. Klippel-Trenaunay syndrome: the risks and benefits of vascular interventions. Surgery. 1991. 110:469–479.
3. Neubert AG, Golden MA, Rose NC. Kasabach-Merritt coagulopathy complicating Klippel-Trenaunay-Weber syndrome in pregnancy. Obstet Gynecol. 1995. 85:831–833.
4. Meizner I, Rosenak D, Nadjari M, Maor E. Sonographic diagnosis of Klippel-Trenaunay-Weber syndrome presenting as a sacrococcygeal mass at 14 to 15 weeks' gestation. J Ultrasound Med. 1994. 13:901–904.
5. Paladini D, Lamberti A, Teodoro A, Liguori M, D'Armiento M, Capuano P, et al. Prenatal diagnosis and hemodynamic evaluation of Klippel-Trenaunay-Weber syndrome. Ultrasound Obstet Gynecol. 1998. 12:215–217.
6. Yankowitz J, Slagel DD, Williamson R. Prenatal diagnosis of Klippel-Trenaunay-Weber syndrome by ultrasound. Prenat Diagn. 1994. 14:745–749.
7. Bliznak J, Staple TW. Radiology of angiodysplasias of the limb. Radiology. 1974. 110:35–44.
8. Hergesell K, Kröger K, Petruschkat S, Santosa F, Herborn C, Rudofsky G. Klippel-Trenaunay syndrome and pregnancy. Int Angiol. 2003. 22:194–198.
9. Rebarber A, Roman AS, Roshan D, Blei F. Obstetric management of Klippel-Trenaunay syndrome. Obstet Gynecol. 2004. 104:1205–1208.
10. Richards DS, Cruz AC. Sonographic demonstration of widespread uterine angiomatosis in a pregnant patient with Klippel-Trenaunay-Weber syndrome. J Ultrasound Med. 1997. 16:631–633.
11. Andreasen KR, Tabor A, Weber T. Klippel-Trenaunay-Weber syndrome in pregnancy and at delivery. J Obstet Gynaecol. 1999. 19:78–79.
12. Redline RW. Severe fetal placental vascular lesions in term infants with neurologic impairment. Am J Obstet Gynecol. 2005. 192:452–457.
13. American College of Obstetricians and Gynecologists (ACOG). Thromboembolism in pregnancy. ACOG Practice Bulletin No. 19. 2000. Washington, DC: ACOG.
14. Ceballos-Quintal JM, Pinto-Escalante D, Castillo-Zapata I. A new case of Klippel-Trenaunay-Weber (KTW) syndrome: evidence of autosomal dominant inheritance. Am J Med Genet. 1996. 63:426–427.
15. Aelvoet GE, Jorens PG, Roelen LM. Genetic aspects in Klippel-Trenaunay syndrome. Phlebologie. 1991. 44:809–814.
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