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Case Reports
Management of urethral hemangiomas associated with Klippel-Trenaunay-Weber syndrome by endoscopic sclerotherapy.
- Naoki Terada, Ryuichiro Arakaki, Yoshiyuki Okada, Yoshiyuki Kaneko, and Kazuo Nishimura.
- Department of Urology, Osaka Red Cross Hospital 5-30 Fudegasaki-cho, Tennoji-ku, Osaka 543-8555, Japan. nterado@kuhp.kyoto-u.ac.jp
- Int. J. Urol. 2007 Jul 1; 14 (7): 658-60.
AbstractKlippel-Trenaunay-Weber syndrome (KTS) is an unusual congenital anomaly characterized by cutaneous hemangiomas, varicosities and bony hypertrophy of the extremities. Herein the case is reported of a 24-year-old man with urethral bleeding from hemangiomas associated with KTS that were successfully managed by endoscopic sclerotherapy. A 23-G puncture needle was inserted into the bleeding vein to inject a 5% solution of monoethanolamine oleate (Oldamine), which is typically used for sclerotherapy of esophageal vasix. At a 4-month follow-up, the patient only had slightly bloodstained urethral discharge, and is doing well. This is the first case reporting endoscopic sclerotherapy for a KTS-associated urethral hemangioma.
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