Abstract:
INTRODUCTION:The Klippel-Trenaunay syndrome (KTS) is a rare congenital disorder. The obstetric course of women with KTS varies. Complications include bleeding, disseminated intravascular coagulation (DIC), thromboembolic events, etc. PATIENT CONCERNS:: Here, we report a case of late puerperal hemorrhage of a Chinese puerpera with KTS. The repeating severe hemorrhage, the DIC, and the Kasabach-Merrit syndrome made the treatment more difficult. DIAGNOSIS:KTS is a mixed malformation with a vascular component that is characterized by abnormal development of veins, capillaries, and lymphatics. Our patient was first diagnosed with KTS at the last trimester of pregnancy. INTERVENTIONS:Massive infusion of blood products, two laparotomies, as well as bilateral internal iliac artery embolization was carried out. OUTCOMES:Although the patient survived from the life-threatening hemorrhage, she lost her uterus forever. CONCLUSION:An interdisciplinary cooperation of obstetrician, anesthesiologist, vascular surgeon, and intensive care physician is highly recommended. Prophylactic anticoagulation is generally advised in the gestational and postpartum period.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Zhang J,Wang K,Mei Jdoi
10.1097/MD.0000000000018378subject
Has Abstractpub_date
2019-12-01 00:00:00pages
e18378issue
50eissn
0025-7974issn
1536-5964pii
00005792-201912130-00090journal_volume
98pub_type
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