Gastrointestinal bleeding with Klippel-Trenaunay syndrome: a case report.
Case report
Gastrointestinal hemorrhage
Gastrointestinal tract
Klippel–Trenaunay syndrome
Journal
BMC gastroenterology
ISSN: 1471-230X
Titre abrégé: BMC Gastroenterol
Pays: England
ID NLM: 100968547
Informations de publication
Date de publication:
05 Aug 2021
05 Aug 2021
Historique:
received:
22
11
2020
accepted:
29
07
2021
entrez:
6
8
2021
pubmed:
7
8
2021
medline:
10
8
2021
Statut:
epublish
Résumé
Gastrointestinal bleeding caused by gastrointestinal tract involvement in patients with Klippel-Trenaunay syndrome (KTS) is extremely rare and often overlooked. Case presentation A 9-year-old girl who presented with chronic gastrointestinal bleeding was admitted to our hospital. Laboratory examinations revealed microcytic hypochromic anemia and a positive fecal occult blood test. Computed tomography (CT) of the lower limbs combined with physical examination confirmed KTS. The pelvic CT showed concentric thickening of the sigmoid colon and rectum, with progressive enhancement after the administration of a contrast agent. Colonoscopy demonstrated vascular malformations of the sigmoid colon and rectum. The patient was finally diagnosed with KTS with gastrointestinal tract involvement. The patient improved after receiving conservative treatment. A suspicion of gastrointestinal tract involvement as an etiology for gastrointestinal bleeding should not be overlooked in patients with KTS. Endoscopy and imaging modalities can synergistically help diagnose this condition.
Sections du résumé
BACKGROUND
BACKGROUND
Gastrointestinal bleeding caused by gastrointestinal tract involvement in patients with Klippel-Trenaunay syndrome (KTS) is extremely rare and often overlooked. Case presentation A 9-year-old girl who presented with chronic gastrointestinal bleeding was admitted to our hospital. Laboratory examinations revealed microcytic hypochromic anemia and a positive fecal occult blood test. Computed tomography (CT) of the lower limbs combined with physical examination confirmed KTS. The pelvic CT showed concentric thickening of the sigmoid colon and rectum, with progressive enhancement after the administration of a contrast agent. Colonoscopy demonstrated vascular malformations of the sigmoid colon and rectum. The patient was finally diagnosed with KTS with gastrointestinal tract involvement. The patient improved after receiving conservative treatment.
CONCLUSIONS
CONCLUSIONS
A suspicion of gastrointestinal tract involvement as an etiology for gastrointestinal bleeding should not be overlooked in patients with KTS. Endoscopy and imaging modalities can synergistically help diagnose this condition.
Identifiants
pubmed: 34353278
doi: 10.1186/s12876-021-01891-6
pii: 10.1186/s12876-021-01891-6
pmc: PMC8340487
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
315Informations de copyright
© 2021. The Author(s).
Références
Chirurg. 2000 Feb;71(2):228-33
pubmed: 10734595
World Neurosurg. 2018 Jan;109:333-337
pubmed: 29054771
ACG Case Rep J. 2016 Nov 23;3(4):e161
pubmed: 27921060
Lancet Gastroenterol Hepatol. 2018 Jul;3(7):518
pubmed: 29893236
J Pediatr. 2019 May;208:293-293.e2
pubmed: 30737037
J Minim Invasive Gynecol. 2019 Jul - Aug;26(5):791-793
pubmed: 30472303
Endoscopy. 2016 0;48(S 01):E355-E356
pubmed: 27852089
Curr Opin Pediatr. 2019 Dec;31(6):747-753
pubmed: 31693582
J Child Orthop. 2019 Oct 1;13(5):457-462
pubmed: 31695812
Endoscopy. 2013;45 Suppl 2 UCTN:E206
pubmed: 23888458
Radiographics. 2019 Mar-Apr;39(2):491-515
pubmed: 30844349
J Pediatr Gastroenterol Nutr. 2006 May;42(5):581-4
pubmed: 16707985