An Uncommon Presentation of Klippel-Trenaunay Syndrome Presenting with Acute Hip Pain
Hana Sahli *
Faculty of Medicine, University of Tunis El Manar, 1007, Tunis, Tunisia and Department of Internal Medicine, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Asma Bachali
Faculty of Medicine, University of Tunis El Manar, 1007, Tunis, Tunisia and Department of Clinical Laboratory, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Selim Daas
Faculty of Medicine, University of Tunis El Manar, 1007, Tunis, Tunisia and Department of Orthopaedic Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Zied Ezzeddine
Faculty of Medicine, University of Tunis El Manar, 1007, Tunis, Tunisia and Department of Orthopaedic Surgery, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Khaled Bouzaidi
Faculty of Medicine, University of Tunis El Manar, 1007, Tunis, Tunisia and Department of Radiology, Mohamed Tahar Maamouri Hospital, Nabeul, Tunisia.
Rawdha Tekaya
Faculty of Medicine, University of Tunis El Manar, 1007, Tunis, Tunisia and Department of Rheumatology, Charles Nicolle Hospital, Tunis, Tunisia.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Klippel-Trenaunay syndrome (KTS) is a syndrome that affects the development of blood vessels, soft tissues and bones. We report a rare case of KTS presenting with spontaneous acute hip pain.
Case Presentation: A 38-year-old male patient presented to the emergency department with a complaint of right hip pain and elevated temperature of one moth duration. These symptoms disappeared spontaneously after two days of hospitalization. Computerized tomography (CT) scan revealed a common iliac vein hypoplasia and collateral circulation associated with asymmetric psoas muscles. A diagnosis of KTS was made based on the vascular abnormalities and associated soft tissue changes.
Conclusion: Our case illustrates a new case of KTS presenting with spontaneous acute hip pain.
Keywords: Klippel-Trenaunay syndrome, pain, hip, malformation