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British Journal of Anaesthesia, Vol 82, Issue 1 144-146, Copyright © 1999 by The Board of Management and Trustees of the British Journal of Anaesthesia

CASE REPORTS

Epidural analgesia in an obstetric patient with Klippel-Trenaunay syndrome

P. Dobbs, A. Caunt and T. J. Alderson
Department of Anaesthetics, C-Floor OPD, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK; Department of Anaesthetics, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK

We describe the use of epidural analgesia for vaginal delivery of a parturient with Klippel-Trenaunay syndrome in whom the use of repeated magnetic resonance imaging during her obstetric care allowed us to see deep haemangiomata. This also allowed the safe sitting of an epidural catheter at L1-2 to provide analgesia for labour and delivery. Klippel- Trenaunay syndrome and the anaesthetic implications of the congenital vascular abnormalities and potential coagulopathy are discussed.
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