The role of radiology in the planning management of Klippel Trenaunay Syndrome (KTS) Randa O. Kaddah a, * , Usama Lotfi b , Magdy Haggag b , Hisham Abd EL Ghani c a Department of Radiodiagnosis, Faculty of Medicine, Kasr EL Aini Hospital, Cairo University, Cairo, Egypt b Department of Vascular Surgery, Faculty of Medicine, Kasr EL Aini Hospital, Cairo University, Cairo, Egypt c Department of Othopedics, Faculty of Medicine, Kasr EL Aini Hospital, Cairo University, Cairo, Egypt Received 15 March 2011; accepted 1 June 2011 Available online xxxx Abstract Purpose: KTS represents a challenging problem in both diagnosis and management. This study presents an example of a radiological protocol which may prove extremely beneficial in the diagnostic and surgical planning strategy. Study design : This is a prospective study involving 20 patients that had been clinically diagnosed as having KT syndrome. The proposed radiology imaging protocol involved scanning by Skeletal sur- vey, CT, MRI, and MRA/MRV as basic routine studies for all patients as well as abdominal US and CT for associated visceral involvements. Data analysis classified patients into groups undergo- ing orthopedic procedures for limb shortening, surgical management for varicosities and others who will be under conservative measures. Results: Twenty patients had met the three criteria of KT syndrome. CT scanogram revealed leg length discrepancy (LLD) in all patients. MRI and MRV results revealed different varieties of cav- ernous haemangioma and varicose veins, a form of surgical intervention was resorted to in 12 patients. * Corresponding author. Address: 23, Adan Street, Apartment 13, Mohandessin, Cairo, Egypt. Tel.: +20 237622927/105176465. E-mail addresses: [email protected] (R.O. Kaddah), Usamalotfi@yahoo.com (U. Lotfi), [email protected] (M. Haggag), [email protected] (Hisham Abd EL Ghani). 0378-603X Ó 2011 Egyptian Society of Radiology and Nuclear Medicine. Production and hosting by Elsevier B.V. All rights reserved. Peer review under responsibility of Egyptian Society of Radiology and Nuclear Medicine. doi:10.1016/j.ejrnm.2011.06.002 Production and hosting by Elsevier The Egyptian Journal of Radiology and Nuclear Medicine (2011) xxx, xxx–xxx Egyptian Society of Radiology and Nuclear Medicine The Egyptian Journal of Radiology and Nuclear Medicine www.elsevier.com/locate/ejrnm www.sciencedirect.com ARTICLE IN PRESS Please cite this article in press as: Kaddah RO et al., The role of radiology in the planning management of Klippel Trenaunay Syndrome (KTS), Egypt J Radiol Nucl Med (2011), doi:10.1016/j.ejrnm.2011.06.002
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