Kasabach-Merritt syndrome with disseminated intravascular coagulopathy treated by exchange transfusion and surgical excision.
Kasabach-Merritt syndrome with consumption coagulopathy occurred in a 5-week-old female infant with a hemangioma on her back. Disseminated intravascular coagulopathy was improved by an exchange transfusion. Administration of steroid and radiation therapy was attempted as a treatment for the hemangioma and thrombocytopenia; however, it was unsuccessful. Complete recovery was obtained by surgical excision. Enhanced computerized tomography was advantageous to determine the size of the hemangioma prior to operation.
D001415:Back; D004211:Disseminated Intravascular Coagulation / Q000150:complications / Q000628:therapy*; D005078:Exchange Transfusion, Whole Blood; D005260:Female; D006391:Hemangioma / Q000150:complications* / Q000601:surgery; D006801:Humans; D007223:Infant; D012878:Skin Neoplasms / Q000150:complications* / Q000601:surgery; D013577:Syndrome; D013921:Thrombocytopenia / Q000150:complications