[Kasabach-Merritt syndrome in giant hemangioma of the liver. A case report].
Kasabach-Merritt-syndrome is rare coagulation disorder with consumption coagulopathy caused by vascular malformations. We report the case of a 44-year-old woman with repeated severe bleeding complications after small and medium sized operations with normal results in the tests of plasmatic coagulation. After discovery of a giant hemangioma of the liver the diagnosis was established. Activation of coagulation was stopped preoperatively by i.v.-heparinization and curative treatment by right-sided hemihepatectomy followed.
Vogel
T
T
Klinik für Allgemein- und Unfallchirurgie, Universitätsklinikum Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf.
Lammers
B
B
von Herbay
A
A
Kunz
B M E
BM
Donner
A J
AJ
Fürst
G
G
Goretzki
P E
PE
D000328:Adult; D015901:Angiography, Digital Subtraction; D001780:Blood Coagulation Tests; D004211:Disseminated Intravascular Coagulation / Q000209:etiology* / Q000473:pathology / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006391:Hemangioma / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D006493:Heparin / Q000008:administration & dosage; D006498:Hepatectomy; D006801:Humans; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000517:prevention & control; D011292:Premedication; D012086:Reoperation; D013577:Syndrome; D013921:Thrombocytopenia / Q000209:etiology* / Q000473:pathology / Q000517:prevention & control; D014057:Tomography, X-Ray Computed
D006493:Heparin