Sclerotherapy treatment of a large venous malformation invading the bladder wall related to Klippel-Trenaunay syndrome
| Autor: | Narayan Karunanithy, Luke Foster, Ramesh Thurairaja |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Klippel-Trenaunay-Weber Syndrome Klippel-Trenaunay syndrome Vascular Malformations medicine.medical_treatment Urinary Bladder Case Report Lasers Solid-State Multidisciplinary team Asymptomatic 030218 nuclear medicine & medical imaging Veins Sodium Tetradecyl Sulfate 03 medical and health sciences 0302 clinical medicine Sclerotherapy medicine Humans Hematuria 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Interventional radiology General Medicine Cystoscopy medicine.disease Sclerosing Solutions Treatment Outcome Macroscopic haematuria Administration Intravenous Female Radiology medicine.symptom Venous malformation business Magnetic Resonance Angiography |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | We report the case of a 35-year-old woman who presented with recurrent macroscopic haematuria and known diagnosis of Klippel-Trenaunay syndrome. Imaging and cystoscopy identified an extensive venous malformation involving a large area of the bladder wall. Holmium laser therapy was ineffective at obtaining symptom control. Following a multidisciplinary team meeting, transvenous sclerotherapy with sodium tetradecyl sulphate was performed under image guidance. A reduction in venous density was observed on cystoscopy and the patient has had complete resolution of symptoms within 6 weeks and continued to be asymptomatic up to 24-month follow-up. We propose that transvenous sclerotherapy is considered first-line treatment in this clinical setting. |
| Databáze: | OpenAIRE |
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