Int J Angiol 2023; 32(04): 292-295
DOI: 10.1055/s-0041-1729921
Case Report

Klippel–Trénaunay Syndrome and Developmental Coxa Vara in the Same Limb: A Case Report with a Review of the Literature

1   Department Of Orthopedics, Government Medical College, Kozhikode, Kerala, India
,
Jittu Alex
1   Department Of Orthopedics, Government Medical College, Kozhikode, Kerala, India
,
Ashwin Rajmohan
1   Department Of Orthopedics, Government Medical College, Kozhikode, Kerala, India
› Author Affiliations
Funding We have not accepted any financial assistance from within or outside our institution for collecting data, writing the manuscript, or for its publications.

Abstract

We present a case of a 14-year-old girl who was first treated when she was 4 years old. She had progressive limping of the left lower limb from the age of 3 years. She was diagnosed to have developmental coxa vara of the left hip and treated by a subtrochanteric valgus osteotomy of the left femur. Later, she developed hypertrophy of the left upper and lower limbs. There were port-wine stains over the left lower limbs with multiple superficial varicosities. Her diagnosis was Klippel–Trénaunay syndrome (KTS). She is asymptomatic at the final follow-up. Both developmental coxa vara and KTS are rare conditions. We present this case to demonstrate the rarest combination of two rare conditions occurring in the same limb.



Publication History

Article published online:
30 July 2021

© 2021. International College of Angiology. This article is published by Thieme.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Berry SA, Peterson C, Mize W. et al. Klippel-Trenaunay syndrome. Am J Med Genet 1998; 79 (04) 319-326
  • 2 Lindenauer SM. The Klippel-Trenaunay syndrome. Ann Surg 1965; 162 (02) 303-314
  • 3 Trigui M, Pannier S, Finidori G, Padovani JP, Glorion C. Coxa vara in chondrodysplasia: prognosis study of 35 hips in 19 children. J Pediatr Orthop 2008; 28 (06) 599-606
  • 4 Berry SA, Peterson C, Mize W. et al. Klippel-Trenaunay syndrome. Am J Med Genet 1998; 79 (04) 319-326
  • 5 Gloviczki P, Hollier LH, Telander RL, Kaufman B, Bianco AJ, Stickler GB. Surgical implications of Klippel-Trenaunay syndrome. Ann Surg 1983; 197 (03) 353-362
  • 6 Tracy TF. Klippel-Trenaunay syndrome: the risks and benefits of vascular interventions. J Pediatr Surg 1992; 27 (03) 401
  • 7 Le Mesurier AB. Developmental coxa vara. J Bone Joint Surg Br 1948; 30B (04) 595-605
  • 8 Shapiro F. Pediatric Orthopedic Deformities, Volume 2: Developmental Disorders of the Lower Extremity: Hip to Knee to Ankle and Foot. New York, NY: Springer International Publishing; 2019
  • 9 Heimkes B, Komm M, Melcher C. Subtrochanteric end-to-side valgus osteotomy for severe infantile coxa vara [in German]. Oper Orthop Traumatol 2009; 21 (01) 97-111
  • 10 Roposch A. Developmental coxa vara. In: Bentley G. ed. European Surgical Orthopaedics and Traumatology. Berlin, Heidelberg: Springer; 2014: 4419-4424
  • 11 Timur AA, Driscoll DJ, Wang Q. Biomedicine and diseases: the Klippel-Trenaunay syndrome, vascular anomalies and vascular morphogenesis. Cell Mol Life Sci 2005; 62 (13) 1434-1447
  • 12 Verhelst H, Van Coster R. Neuroradiologic findings in a young patient with characteristics of Sturge-Weber syndrome and Klippel-Trenaunay syndrome. J Child Neurol 2005; 20 (11) 911-913