Abstract:
INTRODUCTION:Klippel-Trenaunay syndrome is a rare congenital vascular disease characterized by cutaneous hemangiomas, varicosities, and limb asymmetry, which may evolve with coagulation disorders and hemorrhage as those more frequent complications in pregnant patients. Pregnancy is not advised in women with this syndrome due to increased obstetrical risk. CASE REPORT:Female patient, 29 years old, 99kg, 167cm, BMI 35.4kg.m-2, physical status ASA III, with 27 weeks of gestational age and diagnosis of Klippel-Trenaunay syndrome. She was admitted to attempt inhibition of preterm labor. As manifestations of Klippel-Trenaunay syndrome, the patient presented with cerebral and cutaneous hemangioma mainly in the trunk and lumbar region, paresis in the left upper and lower limbs, and limb asymmetry requiring the use of a walking stick. Physical examination revealed absence of airway vascular malformations and Mallampati class 3. Laboratory tests were normal and abdominal angiotomography showed irregular uterus, with multiple varices and vessels of arterial origin and bilateral periadnexal varices. She evolved with failure in preterm labor inhibition, and cesarean section under total intravenous anesthesia was indicated. Monitoring, central and peripheral venous access, radial artery catheterization, and diuresis were secured. Cesarean section was performed with median incision and longitudinal uterine body section for fetal extraction. Two episodes of arterial hypotension were seen intraoperatively. The postoperative evolution was uneventful. The choice of anesthesia was dependent on the clinical manifestations and the lack of imaging tests proving the absence of neuraxial hemangiomas.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
Teixeira CEFA,Braga AFA,Braga FSDS,Carvalho VH,Costa RMD,Brighenti GITdoi
10.1016/j.bjan.2018.01.015subject
Has Abstractpub_date
2018-01-01 00:00:00pages
641-644issue
6eissn
0034-7094issn
1806-907Xpii
S0034-7094(17)30174-5journal_volume
68pub_type
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000400007
更新日期:2003-08-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2016.08.007
更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2016.03.003
更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942006000600010
更新日期:2006-12-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942007000400012
更新日期:2007-08-01 00:00:00
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doi:10.1016/j.bjan.2018.02.009
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,随机对照试验
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journal_title:Revista brasileira de anestesiologia
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doi:10.1590/s0034-70942005000300012
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journal_title:Revista brasileira de anestesiologia
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doi:10.1590/s0034-70942004000300005
更新日期:2004-06-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942007000300003
更新日期:2007-06-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942005000500004
更新日期:2005-10-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942008000600008
更新日期:2008-11-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000500013
更新日期:2003-09-01 00:00:00