Abstract
To date, lymphoscintigraphy and conventional, direct lymphography have been the favoured imaging modalities in assessing the lymphatic system in patients with Klippel–Trénaunay syndrome. We report on the first patient suffering from Klippel–Trénaunay syndrome whose lymphatic vasculature of the lower limbs was evaluated with MR lymphangiography.
References
1 Klippel M, Trénaunay P. Du naevus variquex osteohypertrophique. Arch Genet Med Paris 1900;3:611–72.
2 Jacob AG, Driscoll DJ, Shaughnessy WJ, Stanson AW, Clay RP, Gloviczki P. Klippel-Trénaunay syndrome: spectrum and management. Mayo Clin Proc 1998;73:28–36.
3 Langer M, Langer R. Radiologic aspects of the congenital arteriovenous malformations, Klippel-Trenaunay type, and Servelle-Martorell type. Rofo 1982;136:577–82.
4 Berry SA, Peterson C, Mize W, et al. Klippel-Trénaunay syndrome. Am J Med Genet 1998;79:319–26.
5 Baskerville PA, Ackroyd JS, Lea Thomas M, Browse NL. The Klippel–Trénaunay syndrome: clinical, radiological, and haemodynamic features and management. Br J Surg 1985;72:232–6.
6 Cha SH, Romeo MA, Neutze JA. Visceral manifestations of Klippel-Trenaunay syndrome. Radiographics 2005;25:1694–7.
7 Samuel M, Spitz L. Klippel-Trenaunay syndrome: clinical features, complications and management in children. Br J Surg 1995;82:757–61.
8 Kinmonth JB, Young AE, Edwards JM, O'Donnell TF, Thomas ML. Mixed vascular deformities of the lower limbs, with particular reference to lymphography and surgical treatment. Br J Surg 1976;63:899–906.
9 Collins PS, Villavicencio JL, Abreu SH, et al. Abnormalities of lymphatic drainage in lower extremities: a lymphoscintigraphic study. J Vasc Surg 1989;9:145–52.
10 Capraro PA, Fisher J, Hammond DC, Grossman JA. Klippel-Trenaunay syndrome. Plast Reconstr Surg 2002;109:2052–60.
11 James CA, Allison JW, Waner M. Klippel-Trenaunay syndrome. Radiographics 1999;19:1093–6.
12 Lohrmann C, Foeldi E, Speck, O, Langer M. High-resolution magnetic resonance lymphangiography in patients with primary and secondary lymphedema. AJR Am J Roentgenol 2006. 187:556–61.
13 Lohrmann C, Kautz O, Speck O, Langer M. Chronic lymphedema: detected with high-resolution magnetic resonance lymphangiograpy (clinical image). J Comput Assist Tomogr 2006. 30:688
14 Foeldi M, Foeldi E, Kubik S. Textbook of lymphology, 1st edn. Munich, Germany: Elsevier, 2003
15 Kinmonth JB. Lymphangiography in man; a method of outlining lymphatic trunks at operation. Clin Sci 1952;11:13–20.
16 Koehler PR. Complications of lymphography. Lymphology 1968;1:116–20.
17 Weissleder H, Weissleder R. Lymphedema: evaluation of qualitative and quantitative lymphoscintigraphy in 238 patients. Radiology 1988;167:729–35.
