Involvement of Splenic Hemangioma and Rectal Varices in a Patient with Klippel - Trenaunay Syndrome

• Published in: The Korean journal of gastroenterology Vol. 58; no. 3; pp. 157 - 161
• Main Authors: Choi, Youn Jung, Jee, Sam Ryong, Park, Kwan Sik, Ryu, Choong Heon, Seo, Hyo Rim, Ha, Seoung In, Lee, Sang Heon, Ok, Kyung Sun
• Format: Journal Article
• Language: English
• Published: 대한소화기학회 01.09.2011
• Subjects: 내과학
• ISSN: 1598-9992; 2233-6869
• DOI: 10.4166/kjg.2011.58.3.157

Klippel - Trenaunay syndrome (KTS) is characterized by a cutaneous vascular nevus of the involved extremity, bone and soft tissue hypertrophy of the extremity and venous malformations. We present a case of KTS with splenic hemangiomas and rectal varices. A 29-year-old woman was referred for intermittent hematochezia for several years. She had history with a number of operations for cutaneous and soft tissue hamangiomas since the age of one year old and for increased circumference of her left thigh during the last few months. Abdominal CT revealed multiple hemangiomas in the spleen, fusiform aneurysmal dilatation of the deep veins and soft tissue hemangiomas. There was no evidence of hepatosplenomegaly or liver cirrhosis. Colonoscopy revealed hemangiomatous involvement in the rectum. There were rectal varices without evidence of active bleeding. Upon venography of the left leg, we also found infiltrative dilated superficial veins in the subcutaneous tissue and aneurysmal dilatation of the deep veins. The patient was finally diagnosed with KTS, and treated with oral iron supplementation only,which has been tolerable to date. Intervention or surgery is not required. When gastrointestinal varices or hemangiomatous mucosal changes are detected in a young patient without definite underlying cause, KTS should be considered. KCI Citation Count: 2