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Case Reports: Reminder of important clinical lesson
Management of postpartum haemorrhage in a patient with Klippel-Trènaunay syndrome
  1. Emily Benson1,
  2. Huigen Chen2,3,
  3. Ali Nakhosteen4 and
  4. Wai Yoong1
  1. 1Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust Ferriman Information and Library Service, London, UK
  2. 2St George's International School of Medicine, Grenada, UK
  3. 3North Middlesex University Hospital NHS Trust Ferriman Information and Library Service, London, UK
  4. 4Department of Radiology, North Middlesex University Hospital NHS Trust, London, UK
  1. Correspondence to Wai Yoong; waiyoong{at}nhs.net

Abstract

Klippel-Trènaunay syndrome is a rare congenital disorder characterised by vascular malformations, which may be exacerbated during pregnancy and pose considerable thromboembolic and haemorrhagic risk for obstetric patients. We report on a patient with this syndrome who underwent elective caesarean section which was indicated due to previous obstetric anal sphincter injury. We describe her multidisciplinary preoperative planning and successful management of major postpartum haemorrhage with uterine compression sutures and intrauterine balloon tamponade (‘uterine sandwich’).

  • haematology (incl blood transfusion)
  • obstetrics and gynaecology

https://doi.org/10.1136/bcr-2021-246601

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    Footnotes

    • EB and HC are joint first authors.

    • Contributors EB and HC are joint first authors. EB performed literature search and cowrote the paper. HC performed literature search and cowrote the paper. AN provided figure 1 and peer-reviewed the paper. WY performed surgery, was the supervising consultant and cowrote the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.