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Massive splenomegaly caused by cavernous hemangiomas associated with Klippel–Trenaunay syndrome: report of a case

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Abstract

The etiology of Klippel–Trenaunay syndrome (KTS) is not well understood. Although splenic involvement is very rare in KTS, life-threatening events such as spontaneous rupture of a splenic hemangioma may occur. We recently performed elective splenectomy for massive splenomegaly causing uncontrollable abdominal pain in a woman with KTS. The extracted spleen weighed 4260 g, and cavernous hemangiomas in the spleen were found to be the cause of the splenomegaly. The patient’s abdominal pain resolved after surgery and her postoperative course was uneventful, except for persistent bleeding from the bladder. This is a rare case of KTS with associated severe splenomegaly caused by hemangiomas.

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References

  1. Klippel M, Trenaunay P. Du naevus variqueux osteohypertrophique. Arch Gen Med. 1900;185:641–50.

    Google Scholar 

  2. Choi YJ, Jee SR, Park KS, Ryu CH, Seo HR, Ha SI, et al. Involvement of splenic hemangioma and rectal varices in a patient with Klippel–Trenaunay syndrome. Korean J Gastroenterol. 2011;58:157–61.

    Article  PubMed  Google Scholar 

  3. Hamano K, Hiraoka H, Kouchi Y, Fujioka K, Esato K. Klippel–Trenaunay syndrome associated with splenomegaly: report of a case. Surg Today. 1995;25:272–4.

    Article  CAS  PubMed  Google Scholar 

  4. Jindal R, Sullivan R, Rodda B, Arun D, Hamady M, Cheshire NJ. Splenic malformation in a patient with Klippel–Trenaunay syndrome: a case report. J Vasc Surg. 2006;43:848–50.

    Article  PubMed  Google Scholar 

  5. Gharemani GG, Kangarloo H, Volberg F, Meyers MA. Diffuse cavernous hemangioma of the colon in the Klippel–Trenaunay syndrome. Radiology. 1976;118:673–8.

    Google Scholar 

  6. Klein TW, Kaplan GW. Klippel–Trenaunay syndrome associated with urinary tract hemangiomas. J Urol. 1975;114:596–600.

    CAS  PubMed  Google Scholar 

  7. Pakter RL, Fishman EK, Nussbaum A, Giargiana FA, Zerhouni EA. CT findings in splenic hemangiomas in the Klippel–Trenaunay–Weber syndrome. J Comput Assist Tomogr. 1987;11:88–91.

    Article  CAS  PubMed  Google Scholar 

  8. Gourie-Devi M, Prakash B. Vertebral and epidural hemangioma with paraplegia in Klippel–Trenaunay–Weber syndrome. J Neurosurg. 1978;48:814–7.

    Article  CAS  PubMed  Google Scholar 

  9. Spasić M, Radovanović D, Canović D, Azanjac G, Djurdjević P, Mitrović S. Combined lymphangioma and hemangioma of the spleen in a patient with Klippel–Trénaunay syndrome. Srp Arh Celok Lek. 2012;140:777–81.

    Article  PubMed  Google Scholar 

  10. Kocaman O, Alponat A, Aygün C, Gürbüz Y, Sarisoy HT, Celebi A, et al. Lower gastrointestinal bleeding, hematuria and splenic hemangiomas in Klippel–Trenaunay syndrome: a case report and literature review. Turk J Gastroenterol. 2009;20:62–6.

    PubMed  Google Scholar 

  11. Karakayali F, Basaran C, Soy EA, Karakus S, Yabanoglu H, Moray G, et al. Spontaneous spleen rupture and rectus sheath hematoma in a patient with Klippel–Trenaunay syndrome: report of a case. Surg Today. 2010;40:154–7.

    Article  PubMed  Google Scholar 

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None of the authors have any conflict of interest to declare and have no financial relationship with the organization that sponsored this research.

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Correspondence to Takeyuki Misawa.

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Misawa, T., Shiba, H., Fujiwara, Y. et al. Massive splenomegaly caused by cavernous hemangiomas associated with Klippel–Trenaunay syndrome: report of a case. Surg Today 44, 197–200 (2014). https://doi.org/10.1007/s00595-013-0779-y

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  • DOI: https://doi.org/10.1007/s00595-013-0779-y

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