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Salhi C, N'joumi C, Banana Y, Benzirar A, Rkain M, Babakhouya A. Pediatric Limb Asymmetry: A Unique Presentation of Angioosteohypertrophic Syndrome. Cureus 2024; 16:e62040. [PMID: 38989340 PMCID: PMC11234240 DOI: 10.7759/cureus.62040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2024] [Indexed: 07/12/2024] Open
Abstract
Parks-Weber syndrome (PWS), also known as Klippel-Trenaunay-Weber syndrome, is a rare congenital bone vascular syndrome first described in 1900. It is characterized by arteriovenous malformations in a limb, leading to disproportionate limb growth and potential heart failure. Unlike Klippel-Trenaunay syndrome, PWS manifests arteriovenous malformations with abnormal connections between the arteries and veins of the affected limb. The management of this syndrome, similar to that of Klippel-Trenaunay syndrome, relies mainly on symptomatic treatment. We report the first case of angioosteohypertrophic syndrome diagnosed at CHU Med VI Oujda, in a patient aged seven years and eight months. This syndrome manifested primarily in the right upper limb, characterized by asymmetry in both upper limbs, thermal disparity, a cutaneous nevus, and venous ectasia in the right arm. The diagnosis was further substantiated through arteriography, confirming the presence of an arteriovenous fistula.
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Affiliation(s)
- Chaimae Salhi
- Department of Pediatrics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
| | - Chaimae N'joumi
- Department of Pediatrics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
| | - Youssef Banana
- Department of Vascular Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
| | - Adnane Benzirar
- Department of Vascular Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
| | - Maria Rkain
- Department of Pediatrics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
- Pediatric Gastroenterology, Mohammed VI University Hospital, Oujda, MAR
| | - Abdeladim Babakhouya
- Department of Pediatrics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR
- Pediatric Cardiology, Mohammed VI University Hospital, Oujda, MAR
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Trihan JE, Perez-Martin A, Thollot C, Belhadj-Chaidi R, Escure E, Guillaumat J, Lanéelle D. Thrombosis of previously silent Persistent Sciatic Vein in non Klippel-Trenaunay syndrome patient. JOURNAL DE MEDECINE VASCULAIRE 2020; 45:13-17. [PMID: 32057319 DOI: 10.1016/j.jdmv.2019.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Accepted: 08/28/2019] [Indexed: 06/10/2023]
Abstract
Persistent Sciatic Vein (PSV) remains a rare condition with no associated malformative syndrome or concomitant Persistent Sciatic Artery (PSA). Very few case reports have been published. We report the case of a 73-year-old man who presented to the emergency room with tenderness, edema and pain of the left calf, for up to 3 days. Biology reported an elevated d-dimer level. Doppler ultrasound diagnosed proximal left deep popliteal vein thrombosis, extended to a large vein along the sciatic nerve in the posterior compartment of the thigh, and a patent superficial femoral vein. Anticoagulation therapy was initiated immediately for at least 3 months. PSV remains an understudied condition. While its prevalence is low in the general population, this anatomical condition is associated with some specific clinical situations, such as Klippel-Trenaunay syndrome (KTS) or early varicose recurrence, especially in the posterior thigh area. To our knowledge, this is the first case report of a thrombosed PSV in a patient without a KTS.
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Affiliation(s)
- J-E Trihan
- Vascular medicine department, university hospital of Poitiers, Poitiers, France.
| | - A Perez-Martin
- Vascular medicine department, university hospital of Nîmes, Nîmes, France; EA 2992, caractéristiques féminines des dysfonctions des interfaces vasculaires, university of Medicine Montpellier-Nîmes, Nîmes, France
| | - C Thollot
- Vascular medicine department, university hospital of Poitiers, Poitiers, France
| | - R Belhadj-Chaidi
- Vascular medicine department, university hospital of Poitiers, Poitiers, France
| | - E Escure
- Vascular medicine department, university hospital of Poitiers, Poitiers, France
| | - J Guillaumat
- Vascular medicine department, university hospital of Caen-Normandie, Caen, France
| | - D Lanéelle
- Vascular medicine department, university hospital of Caen-Normandie, Caen, France
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Gonnella GL, Scorzoni M, Catarci S, Zanfini BA, Draisci G. Successful use of spinal anesthesia for an urgent cesarean section in a parturient with a severe Klippel-Trénaunay syndrome. Korean J Anesthesiol 2018; 71:411-412. [PMID: 30301321 PMCID: PMC6193599 DOI: 10.4097/kja.d.18.00050] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2018] [Accepted: 03/28/2018] [Indexed: 12/04/2022] Open
Affiliation(s)
- Gian Luigi Gonnella
- Department of Anesthesiology and Intensive Care Medicine, Catholic University School of Medicine, Rome, Italy
| | - Marco Scorzoni
- Department of Anesthesiology and Intensive Care Medicine, Catholic University School of Medicine, Rome, Italy
| | - Stefano Catarci
- Department of Anesthesiology and Intensive Care Medicine, Catholic University School of Medicine, Rome, Italy
| | - Bruno Antonio Zanfini
- Department of Anesthesiology and Intensive Care Medicine, Catholic University School of Medicine, Rome, Italy
| | - Gaetano Draisci
- Department of Anesthesiology and Intensive Care Medicine, Catholic University School of Medicine, Rome, Italy
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Henneton P, Mestre S, Nou M, Quere I. Nouvelles perspectives nosologiques et thérapeutiques pour les malformations vasculaires syndromiques à composante veino-lymphatique. Rev Med Interne 2018; 39:800-804. [DOI: 10.1016/j.revmed.2018.03.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Revised: 12/23/2017] [Accepted: 03/03/2018] [Indexed: 01/19/2023]
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Jellouli O, Dafiri R. Syndrome de Klippel-Trenaunay associé à une hémimégalencéphalie. Arch Pediatr 2015; 22:71-4. [DOI: 10.1016/j.arcped.2014.10.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2014] [Accepted: 10/21/2014] [Indexed: 11/16/2022]
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Koch A, Aïssi G, Gaudineau A, Sananes N, Murtada R, Favre R, Nisand I. [Klippel-Trenaunay syndrome and pregnancy: difficult choice of delivery from a case and a review of the literature]. ACTA ACUST UNITED AC 2014; 43:483-7. [PMID: 24461340 DOI: 10.1016/j.jgyn.2013.11.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2013] [Revised: 11/11/2013] [Accepted: 11/19/2013] [Indexed: 01/19/2023]
Abstract
Klippel-Trenaunay syndrome (SKT) is a rare disease characterized by cutaneous haemangiomas, capillary malformations venous (venous varicosities), bone and soft tissue hypertrophy affecting one or more limbs. It is often associated with hemorrhagic and thrombotic complications, especially during pregnancy. Vulvovaginal anomalies at risk of bleeding may occur in late trimester of pregnancy, affecting delivery. The terms of delivery depends on the severity of vascular malformations and the experience of the obstetrician. We report the case of a woman in labor at 38 weeks gestation with a SKT with involvement of the left leg up to the corresponding large lip. She presented after vaginal delivery a severe post-partum hemorrhage (2000mL) secondary to vaginal lacerations requiring sutures and supplemented by arterial embolization. A multidisciplinary approach is required at delivery.
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Affiliation(s)
- A Koch
- Département de gynécologie-obstétrique, hôpitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, BP 120, 67300 Schiltigheim cedex, France
| | - G Aïssi
- Département de gynécologie-obstétrique, hôpitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, BP 120, 67300 Schiltigheim cedex, France.
| | - A Gaudineau
- Département de gynécologie-obstétrique, hôpitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, BP 120, 67300 Schiltigheim cedex, France
| | - N Sananes
- Département de gynécologie-obstétrique, hôpitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, BP 120, 67300 Schiltigheim cedex, France
| | - R Murtada
- Département de gynécologie-obstétrique, hôpitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, BP 120, 67300 Schiltigheim cedex, France
| | - R Favre
- Département de gynécologie-obstétrique, hôpitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, BP 120, 67300 Schiltigheim cedex, France
| | - I Nisand
- Département de gynécologie-obstétrique, hôpitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, BP 120, 67300 Schiltigheim cedex, France
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Ferreira MS, Francisco T, Tavares D. Challenges in orthopaedic management of Parkes-Weber syndrome. BMJ Case Rep 2013; 2013:bcr2013008800. [PMID: 23606384 PMCID: PMC3645401 DOI: 10.1136/bcr-2013-008800] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
A 16-year-old boy with a diagnosis of Parkes-Weber syndrome presented with a lower leg discrepancy of 3 cm for orthopaedic management. He had the triad of red skin lesion, lymphoedema and overgrowth of the right leg and multiple arteriovenous fistulae confirmed by angiography. Considering the risk of aggravating the vascular lesion, we decided conservative management of unequal limb lengths as long as this is well tolerated.
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Affiliation(s)
- Mara Silva Ferreira
- Department of Pediatrics, Centro Hospitalar do Barlavento Algarvio, EPE, Portimão, Portugal
| | - Telma Francisco
- Department of Pediatrics, Hospital Dona Estefânia, CHLC, Lisboa, Portugal
| | - Delfin Tavares
- Department of Orthopaedics, Hospital Dona Estefânia, CHLC, Lisboa, Portugal
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Maruani A, Samimi M, Lorette G. Les angiomes plans de membres. Ann Dermatol Venereol 2011; 138:700-5; quiz 699, 706. [DOI: 10.1016/j.annder.2011.06.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2011] [Revised: 05/25/2011] [Accepted: 06/07/2011] [Indexed: 01/19/2023]
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