Abstract
Klippel Trenaunay syndrome (KTS) is a rare congenital disease characterized by a triad of cutaneous hemangioma, varicose veins and bone or soft tissue hypertrophy. Cases of pregnancy complicated by KTS are rare. There is an increased risk of thrombo-embolic disease and hemorrhage during pregnancy. Both obstetric and anesthetic management of KTS in pregnancy can be rather complicated. We present a successful management of pregnancy in an African woman with KTS at Yaounde General Hospital, Cameroon.
Highlights
Describe in 1900, Klippel Trenaunay syndrome (KTS) is a rare congenital disease characterized by a triad of extensive cutaneous hemangiomas, venous varicosities and soft tissue or bone hypertrophy affecting a lower limb and/or arm on one side [1]
We report a case of successful management of pregnancy complicated by KTS at the Yaounde General Hospital, Cameroon
We present a case of a 39 years old African woman, G2P1011
Summary
Describe in 1900, Klippel Trenaunay syndrome (KTS) is a rare congenital disease characterized by a triad of extensive cutaneous hemangiomas, venous varicosities and soft tissue or bone hypertrophy affecting a lower limb and/or arm on one side [1]. The normal physiological changes of pregnancy such as increase in venous pressure, leg edema, venous stasis and increased cardiac output, exacerbate the problems of this syndrome resulting in an increased risk of thrombo-embolic disease and hemorrhage [3] Both obstetric and anesthetic management of KTS in pregnancy can be rather complicated [3]. We present a case of a 39 years old African woman, G2P1011 She had varicose veins and swelling on the left lower limb since the age of 3 years. She was referred to our hospital at 16 weeks of pregnancy for a termination of her pregnancy because she presented a KTS Considering her strong desire to have a child, the decision for continuation of the pregnancy was made by a multidisciplinary staff (obstetrician, anesthesiologist, vascular surgeon and hematologist). The post operative course was uneventful and she was discharged with her healthy baby
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