2022, Number 4
Klippel-Ttrenaunay-Weber syndrome during pregnancy
Language: Spanish
References: 14
Page:
PDF size: 395.93 Kb.
ABSTRACT
Introduction: Klippel-Trenaunay-Weber syndrome is a congenital vascular malformation characterized by a classic clinical triad consisting of vascular anomalies, port-wine skin spots, and hypertrophy of soft and bone tissues.Objective: To describe the case of a patient with Klippel-Trenaunay-Weber syndrome during pregnancy.
Case presentation: The case of a 41-year-old female, multiparous, multipregnant patient with history of chronic venous insufficiency and Klippel-Trenaunay-Weber syndrome is reported. During her pregnancy she presented two events of superficial varicothrombosis, one cellulitis, and her intraoperative and immediate postpartum period were marked by severe compensated preeclampsia. It was possible to perform a cesarean section at 39.3 weeks of gestational age and a live male newborn was obtained weighing 2600 g, Apgar test 8/9, small and calcified placenta, clear amniotic fluid and normal cord.
Conclusions: The coexistence of Klippel-Trenaunay-Weber syndrome during pregnancy makes it classified as a potential risk due to the morbidity it implies. This becomes a challenge for the obstetrician and his multidisciplinary team, which demands timely and correct management.
REFERENCES
Paniagua Coahuila C, Martínez Martínez C, Arellano Hernández J, Alonso Lozano D, Mendoza Hernández F, Mendieta Zerón H, et al. Síndrome de Klippel Trenaunay Weber en el embarazo. Reporte de caso y revisión de literatura. Ciencia e innovación en salud. 2019 [acceso 18/01/2022];75:1-9. Disponible en: http://revistas.unisimon.edu.co/index.php/innovacionsalud/article/download/4190/4417/
Velásquez-Paz J, Álvarez-Mina A, Andrade-Eraso A, Morán-Fernández JA, Morán-Fernández JM. Síndrome de Klippel–Trenaunay–Weber. Reporte de caso. Revista de la Facultad de Ciencias de la Salud de la Universidad del Cauca. 2020 [acceso 18/01/2022];22(2):60-4. Disponible en: https://revistas.unicauca.edu.co/index.php/rfcs/article/view/1423
Rodríguez Peña M, Ovando E. Síndrome de Klipper-Trenaunay-Weber con compromiso vesical y uterino tratado por vía endoscópica y endovascular. MEDICINA. 2020 [acceso 20/01/2022];80(1):84-6. Disponible en: https://www.medicinabuenosaires.com/indices-de-2020/volumen-80-ano-2020-no-1-indice/sindrome-de-klippel/
González Pérez SF, Morales León N, Caraballoso Morales AC, Díaz Carmenate Y, Perdigón Hernández M. Manejo anestésico para la cesárea en una paciente con síndrome de Klippel-trenaunay. Reporte de un caso. Rev Chil Anest. 2019 [acceso 25/01/2022];48:480-4. Disponible en: https://revistachilenadeanestesia.cl/revchilanestv48n05-15/
Gutiérrez Estrella JR, Mejía Romo F, Cárdenas Valdez JC. Síndrome de Klippel- Trenaunay en el embarazo. Reporte de un caso. Ginecol Obstet Mex. 2020 [acceso 25/01/2022];88(3):194-202. Disponible en:https://ginecologiayobstetricia.org.mx/articulo/sindrome-klippel-trenaunay-en-el-embarazo-reporte-de-un-caso.
Couret Cabrera MP, Sánchez Ramírez N, Ortúzar Chirino AA, Sanabria Arias AM, Carrillo Bermúdez L. Síndrome de Klippel Trenaunay Weber y embarazo. Rev Cubana Obstet Ginecol. 2019 [acceso 05/02/2022];45(4):512. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2019000400007
Rodríguez Domínguez PL, Hernández Cabrera J, Crespo Hernández T, Espín García GA. Síndrome de Klippel Trenaunay Weber. Consideraciones sobre un caso clínico. Revista Médica Electrónica. 2018 [acceso 05/02/2022]:40(1)1-7. Disponible en: http://www.revmedicaelectronica.sld.cu/index.php/rme/rt/printerFriendly/2392/html_386