PREGNANCY COMPLICATED BY THE KLIPPEL-TRENAUNAY-SYNDROME - A CASE-REPORT

A primigravida with the Klippel-Trenaunay syndrome was admitted to the hospital at 34 weeks' gestation with a compliant of right calf pain. Superficial thrombophlebitis was diagnosed, and she was treated with c ompresses and analgesia. Speculum examination failed to reveal the pre sence of lower genitourinary tract arteriovenous malformations. Color flow mapping of the uterus did not identify any arteriovenous malforma tions. The patient delivered vaginally at term, and the postpartum cou rse was unremarkable. Pregnancies complicated by the Klippel-Trenaunay syndrome are at increased risk of adverse perinatal outcomes, related primarily to the increased risk of hemorrhagic diathesis. The mode of delivery should be considered carefully in an attempt to minimize the risk to both mother and fetus.