Document Detail

Rectal bleeding in Klippel-Trénaunay syndrome: treatment with laparoscopic ultralow anterior resection with intersphincteric dissection.
MedLine Citation:
PMID:  19851254     Owner:  NLM     Status:  MEDLINE    
Klippel-Trénaunay syndrome is a rare congenital vascular disorder characterized by varicose veins, hypertrophy of the soft tissues and bones, and hemangiomas. Although colorectal angiomatosis is uncommon, this association can lead to life-threatening complications because of acute or chronic bleeding. We report a patient with Klippel-Trénaunay syndrome who presented with transfusion-dependent anemia secondary to chronic rectal bleeding. Endoscopy and image studies revealed venous angiomata involving the rectum and distal sigmoid colon. We performed a laparoscopic ultralow anterior resection with intersphincteric dissection, obtaining good results. After a follow-up of 20 months the patient did not present hematochezia and maintained fecal continence.
Nicolas Rotholtz; Maximiliano E Bun; Mariano Laporte; Lencinas Sandra; Peczan Carlos; Norberto Mezzadri
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical laparoscopy, endoscopy & percutaneous techniques     Volume:  19     ISSN:  1534-4908     ISO Abbreviation:  Surg Laparosc Endosc Percutan Tech     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-23     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888751     Medline TA:  Surg Laparosc Endosc Percutan Tech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e206-9     Citation Subset:  IM    
Hospital Alemán de Buenos Aires, Argentina.
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MeSH Terms
Anal Canal / pathology,  surgery
Anastomosis, Surgical / methods
Colonoscopy / methods*
Gastrointestinal Hemorrhage / etiology*,  surgery
Klippel-Trenaunay-Weber Syndrome / complications*
Laparoscopy / methods*
Proctoscopy / methods*
Rectal Diseases / etiology*,  surgery
Rectum / pathology,  surgery
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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