Klippel-Trenaunay syndrome: Recognition and surgical implications

J. A. Yaakub, A. Tai, Norlia Abdullah, M. K. Teoh

Research output: Contribution to journalArticle

Abstract

The Klippel-Trenaunay syndrome (KTS) is a rare congenital vascular abnormality characterised by varicose veins, cutaneous naevi, bone and soft tissue hypertrophy and an absence of significant arteriovenous communications. Eight patients with KTS are reviewed, four males and four females, with a median age of 17 years (range, three months to 36 years). The main presenting complaint was unilateral lower limb enlargement, with varicose veins and cutaneous haemangioma present in all patients. Bleeding from repeated trauma to the varicosities occurred in three patients, while one adult patient had intermittent rectal bleeding from extensive colorectal vascular malformation. In one child, the disease was rapidly progressive and involved the pelvic vessels, resulting in a palpable suprapubic mass. None of the patients developed consumptive coagulopathy. Angiograms were performed in five patients and venograms in three patients. They confirmed the absence of arteriovenous communications. In four patients, excision or ligation of some of the superficial varicosities without proper evaluation of the venous system resulted in deterioration. The importance of recognising this syndrome and the place of surgical intervention are discussed.

Original languageEnglish
Pages (from-to)102-105
Number of pages4
JournalAsian Journal of Surgery
Volume18
Issue number2
Publication statusPublished - 1995

Fingerprint

Klippel-Trenaunay-Weber Syndrome
Varicose Veins
Communication
Hemorrhage
Skin
Vascular Malformations
Nevus
Hemangioma
Hypertrophy
Ligation
Blood Vessels
Lower Extremity
Angiography
Bone and Bones

ASJC Scopus subject areas

  • Surgery

Cite this

Klippel-Trenaunay syndrome : Recognition and surgical implications. / Yaakub, J. A.; Tai, A.; Abdullah, Norlia; Teoh, M. K.

In: Asian Journal of Surgery, Vol. 18, No. 2, 1995, p. 102-105.

Research output: Contribution to journalArticle

Yaakub, JA, Tai, A, Abdullah, N & Teoh, MK 1995, 'Klippel-Trenaunay syndrome: Recognition and surgical implications', Asian Journal of Surgery, vol. 18, no. 2, pp. 102-105.
Yaakub, J. A. ; Tai, A. ; Abdullah, Norlia ; Teoh, M. K. / Klippel-Trenaunay syndrome : Recognition and surgical implications. In: Asian Journal of Surgery. 1995 ; Vol. 18, No. 2. pp. 102-105.
@article{845bbcdc3bfb4689b321515a8038273b,
title = "Klippel-Trenaunay syndrome: Recognition and surgical implications",
abstract = "The Klippel-Trenaunay syndrome (KTS) is a rare congenital vascular abnormality characterised by varicose veins, cutaneous naevi, bone and soft tissue hypertrophy and an absence of significant arteriovenous communications. Eight patients with KTS are reviewed, four males and four females, with a median age of 17 years (range, three months to 36 years). The main presenting complaint was unilateral lower limb enlargement, with varicose veins and cutaneous haemangioma present in all patients. Bleeding from repeated trauma to the varicosities occurred in three patients, while one adult patient had intermittent rectal bleeding from extensive colorectal vascular malformation. In one child, the disease was rapidly progressive and involved the pelvic vessels, resulting in a palpable suprapubic mass. None of the patients developed consumptive coagulopathy. Angiograms were performed in five patients and venograms in three patients. They confirmed the absence of arteriovenous communications. In four patients, excision or ligation of some of the superficial varicosities without proper evaluation of the venous system resulted in deterioration. The importance of recognising this syndrome and the place of surgical intervention are discussed.",
author = "Yaakub, {J. A.} and A. Tai and Norlia Abdullah and Teoh, {M. K.}",
year = "1995",
language = "English",
volume = "18",
pages = "102--105",
journal = "Asian Journal of Surgery",
issn = "1015-9584",
publisher = "Elsevier Taiwan LLC",
number = "2",

}

TY - JOUR

T1 - Klippel-Trenaunay syndrome

T2 - Recognition and surgical implications

AU - Yaakub, J. A.

AU - Tai, A.

AU - Abdullah, Norlia

AU - Teoh, M. K.

PY - 1995

Y1 - 1995

N2 - The Klippel-Trenaunay syndrome (KTS) is a rare congenital vascular abnormality characterised by varicose veins, cutaneous naevi, bone and soft tissue hypertrophy and an absence of significant arteriovenous communications. Eight patients with KTS are reviewed, four males and four females, with a median age of 17 years (range, three months to 36 years). The main presenting complaint was unilateral lower limb enlargement, with varicose veins and cutaneous haemangioma present in all patients. Bleeding from repeated trauma to the varicosities occurred in three patients, while one adult patient had intermittent rectal bleeding from extensive colorectal vascular malformation. In one child, the disease was rapidly progressive and involved the pelvic vessels, resulting in a palpable suprapubic mass. None of the patients developed consumptive coagulopathy. Angiograms were performed in five patients and venograms in three patients. They confirmed the absence of arteriovenous communications. In four patients, excision or ligation of some of the superficial varicosities without proper evaluation of the venous system resulted in deterioration. The importance of recognising this syndrome and the place of surgical intervention are discussed.

AB - The Klippel-Trenaunay syndrome (KTS) is a rare congenital vascular abnormality characterised by varicose veins, cutaneous naevi, bone and soft tissue hypertrophy and an absence of significant arteriovenous communications. Eight patients with KTS are reviewed, four males and four females, with a median age of 17 years (range, three months to 36 years). The main presenting complaint was unilateral lower limb enlargement, with varicose veins and cutaneous haemangioma present in all patients. Bleeding from repeated trauma to the varicosities occurred in three patients, while one adult patient had intermittent rectal bleeding from extensive colorectal vascular malformation. In one child, the disease was rapidly progressive and involved the pelvic vessels, resulting in a palpable suprapubic mass. None of the patients developed consumptive coagulopathy. Angiograms were performed in five patients and venograms in three patients. They confirmed the absence of arteriovenous communications. In four patients, excision or ligation of some of the superficial varicosities without proper evaluation of the venous system resulted in deterioration. The importance of recognising this syndrome and the place of surgical intervention are discussed.

UR - http://www.scopus.com/inward/record.url?scp=0028952948&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028952948&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:0028952948

VL - 18

SP - 102

EP - 105

JO - Asian Journal of Surgery

JF - Asian Journal of Surgery

SN - 1015-9584

IS - 2

ER -