RT Book, Section A1 Litzendorf, Maria E. A2 Dean, Steven M. A2 Satiani, Bhagwan A2 Abraham, William T. SR Print(0) ID 1105290754 T1 KLIPPEL-TRENAUNAY SYNDROME T2 Color Atlas and Synopsis of Vascular Diseases YR 2015 FD 2015 PB McGraw-Hill Medical PP New York, NY SN 9780071749541 LK accesscardiology.mhmedical.com/content.aspx?aid=1105290754 RD 2024/04/20 AB A 16-year-old girl presented with painful right-leg varicosities. She was actively involved in several sports, and noticed increasingly painful varicosities in her posterior-lateral thigh and extending distally down to her foot. Shortly after her birth purple-red superficial discoloration along her right leg extending up to her flank that abruptly terminated prior to crossing midline was identified. Several right limb-shortening procedures were required. Initial management included gradient compression hose with improvement in her pain. She presented several years later with worsening symptoms and underwent resection of her symptomatic vein clusters followed by targeted sclerotherapy several months postoperatively. Figure 41-1 illustrates a typical case of Klippel-Trenaunay syndrome (KTS). While generally benign, KTS can have unusual presentations that benefit from surgery, sclerotherapy, and/or thermal ablation treatment.