title: Living donor liver transplantation for giant hepatic hemangioma with Kasabach-Merritt syndrome with a posterior segment graft.
abstract: We present a case of a giant hepatic hemangioma with Kasabach-Merritt syndrome, which was cured by living donor liver transplantation. A 48-year-old woman complained of abdominal fullness and appetite loss. The laboratory data showed disseminated intravascular coagulation and a morphologic evaluation revealed a giant hepatic hemangioma involving both lobes of the liver. Living donor liver transplantation was indicated for Kasabach-Merritt syndrome and an unresectable liver tumor. A posterior segment graft was used because the remnant liver volume of the donor might have been too small to sustain the liver function of the donor. The postoperative course was uneventful, and the recipient was discharged from hospital on day 15 after the transplantation without complications.
authors.affiliation: Department of Transplantation and Immunology, Kyoto University, Faculty of Medicine, Kyoto, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kumashiro
authors.forename: Mureo
authors.initials: M
authors.lastname: Kasahara
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Nomoto
authors.forename: Masaru
authors.initials: M
authors.lastname: Kawai
authors.forename: Katsuya
authors.initials: K
authors.lastname: Sasaki
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kiuchi
authors.forename: Koichi
authors.initials: K
authors.lastname: Tanaka
mesh_terms: D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D005260:Female; D006392:Hemangioma, Cavernous / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D016031:Liver Transplantation; D019520:Living Donors; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome