Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Newly Diagnosed Klippel-Trenaunay Syndrome Presenting with Rectal Polyposis in a Male Pediatric Patient: A Case Report

  • Jeong, Seong Hee (Department of Pediatrics, Pusan National University Children's Hospital, Pusan National University School of Medicine) ;
  • Joo, Donghoon (Department of Pediatrics, Pusan National University Children's Hospital, Pusan National University School of Medicine) ;
  • Lim, Taek Jin (Department of Pediatrics, Pusan National University Children's Hospital, Pusan National University School of Medicine) ;
  • Lee, Yeoun Joo (Department of Pediatrics, Pusan National University Children's Hospital, Pusan National University School of Medicine)
  • Received : 2019.10.08
  • Accepted : 2019.11.30
  • Published : 2020.01.15
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Abstract

Klippel-Trenaunay syndrome (KTS) is a rare disorder characterized by a triad of abnormal bone and soft tissue growth, the presence of a port-wine stain, and venous malformations. Gastrointestinal (GI) manifestations of KTS are relatively common and generally do not cause significant problems. However, persistence can lead to chronic GI blood loss or even massive bleeding in rare cases. The majority of the severe GI manifestations associated with KTS present as vascular malformations around the GI tract and exposed vessels can lead to serious bleeding into the GI tract. Herein, we report a case of a 16-year-old boy with severe iron deficiency anemia who was previously misdiagnosed as hemorrhoid due to small amount of chronic bleeding. The actual cause of chronic GI bleeding was from an uncommon GI manifestation of KTS as rectal polyposis.

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References

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