Intraneural hemangioma in Klippel–Trenaunay syndrome: role of musculo-skeletal ultrasound in diagnosis—case report and review of the literature

Deka, Jeena Bordoloi; Deka, Nilim Kumar; Shah, Mohit; Bhatnagar, Nidhi; Nanni, Anna Lisa; Jiménez, Fernando

doi:10.1007/s40477-020-00434-1

Cited by 9 publications

(5 citation statements)

References 15 publications

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“…The vessels that displayed abnormalities include skin capillaries, veins, and lymphatic vessels. Vascular malformation can lead to soft tissues and/or bony hypertrophy; hence, KTS is also known as venous malformation and bone hypertrophy syndrome[ 7 ]. The etiology of KTS is complex and controversial.…”

Section: Discussionmentioning

confidence: 99%

“…Based on the clinical characteristics of KTS, noninvasive imaging is the first choice to facilitate the diagnosis. Lower extremity ultrasound is the preferred modality as it can clearly display the blood flow characteristics as well as venous malformations and exhibits high sensitivity and specificity[ 7 ]. Moreover, X-ray can judge the length of bones as well as bony hypertrophy and reveal the hypertrophy of the soft tissues.…”

Section: Discussionmentioning

confidence: 99%

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Easily misdiagnosed complex Klippel-Trenaunay syndrome: A case report

Li¹,

Xie²,

Li³

et al. 2023

World J Clin Cases

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BACKGROUND Klippel-Trenaunay syndrome (KTS) is a congenital vascular malformation with a complicated etiology. It is sporadic and clinically rare in occurrence. The typical characteristics are capillary malformation (also known as port-wine stain), varicose veins and malformations, and bony and/or soft tissue hypertrophy with or without lymphatic malformation, which are known as the “classic clinical triad”. Herein, a rare case of KTS characterized by crossed-bilateral limb hypertrophy accompanied by intermittent hematochezia and hematuria is reported. CASE SUMMARY We described a 37-year-old female with KTS. She was admitted to our hospital owing to the gradual enlargement of the left lower extremity along with intermittent hematochezia and hematuria. The patient was diagnosed to have hemorrhoid bleeding by other hospitals and treated with conventional hemostatic drugs, but continued to have intermittent gastrointestinal bleeding and hematuria. Therefore, she visited our hospital to seek further treatment. During hospitalization, relevant imaging and laboratory examinations and colonoscopy were performed. In combination with the patient’s history and relevant examinations, we considered that the patient had a complex form of KTS. We recommended a combined diagnosis and treatment from the vascular, interventional, anorectal, and other departments, although she declined any further treatment for financial reasons. CONCLUSION The clinical manifestations of KTS are extensive and diverse and chiefly include the typical triad. However, Vascular malformations of KTS can also involve several parts and systems such as digestive and urogenital systems. Therefore, the atypical manifestations and rare complications necessitate the clinician’s attention and are not to be ignored.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Easily misdiagnosed complex Klippel-Trenaunay syndrome: A case report

Li¹,

Xie²,

Li³

et al. 2023

World J Clin Cases

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“…Vascular hemangiomas have been reported around the ankle joint. [ 9 ] This emphasizes the role of ultrasound in diagnosing vascular malformations before implementing a block in diagnosed KTY patients. A saphenous nerve block was added as a supplemental nerve block considering the incision on the medial aspect of the great toe and forefoot.…”

Section: Discussionmentioning

confidence: 99%

Sciatic Nerve Hemangioma, a Challenge in Klippel–Trenaunay Syndrome for Perioperative Analgesia

Gawai

Bhong

Diwan

et al. 2022

Journal of Medical Ultrasound

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Children with Klippel–Trenaunay syndrome have vascular malformations, varicosities at unusual distribution, and unilateral soft and skeletal tissue hypertrophy of the lower extremity. Corrective surgery of the deformity is necessary to improve gait and wear acceptable footwear. Perioperative pain relief for debulking of the right great toe in a known case of KTS with sciatic hemangioma was achieved with ultrasound-guided sciatic nerve block in an avascular area.

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“…Among the patients with hemangioma, we retrospectively analyzed a patient whose mass occurred in the muscle tissues of leg. The imaging of B-mode ultrasound diagnosed as hemangioma and the pathological diagnosis is administrated as the lymphoma after surgery [4]. The report is following:…”

Section: Introductionmentioning

confidence: 99%

A Case of Extranodal Nk/T Cell Lymphoma Found in Left Leg

2023

RISM

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Intraneural hemangioma in Klippel–Trenaunay syndrome: role of musculo-skeletal ultrasound in diagnosis—case report and review of the literature

Cited by 9 publications

References 15 publications

Easily misdiagnosed complex Klippel-Trenaunay syndrome: A case report

Easily misdiagnosed complex Klippel-Trenaunay syndrome: A case report

Sciatic Nerve Hemangioma, a Challenge in Klippel–Trenaunay Syndrome for Perioperative Analgesia

A Case of Extranodal Nk/T Cell Lymphoma Found in Left Leg

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