Giant hepatic hemangioma with Kasabach-Merritt syndrome: Is the appropriate treatment enucleation of liver transplantation? Journal Article
| Authors: | Hochwald, S. N.; Blumgart, L. H. |
| Article Title: | Giant hepatic hemangioma with Kasabach-Merritt syndrome: Is the appropriate treatment enucleation of liver transplantation? |
| Abstract: | We present a case of giant cavernous hemangioma of the liver with disseminated intravascular coagulopathy (Kasabach-Merritt syndrome) which was cured by enucleation. The 51 year old woman presented with increased abdominal girth and easy bruisability. Workup elsewhere revealed a massive hepatic hemangioma and she was started on radiation therapy to the lesion and offered an orthotopic liver transplant. After careful preoperative preparation, we felt that resection was possible and she underwent a successful enucleation. The operation and postoperative course were complicated by bleeding but she recovered and remains well in followup after 6 months. All coagulation parameters have returned to normal. Enucleation should be considered the treatment of choice for hepatic hemangiomas, including those presenting with Kasabach-Merritt syndrome. The benefits of enucleation as compared to liver transplantation for these lesions are discussed. |
| Keywords: | adult; treatment outcome; middle aged; case report; liver transplantation; liver neoplasms; cancer radiotherapy; preoperative care; follow up; liver; intermethod comparison; enucleation; postoperative hemorrhage; liver hemangioma; hemangioma; disseminated intravascular coagulation; disseminated intravascular clotting; hemangioma, cavernous; humans; human; female; priority journal; article; blood clotting parameters; kasabach-merritt syndrome; kasabach merritt syndrome |
| Journal Title: | HPB Surgery |
| Volume: | 11 |
| Issue: | 6 |
| ISSN: | 0894-8569 |
| Publisher: | Hindawi Publishing Corporation |
| Date Published: | 2000-01-01 |
| Start Page: | 413 |
| End Page: | 419 |
| Language: | English |
| PUBMED: | 10977121 |
| PROVIDER: | scopus |
| PMCID: | PMC2424000 |
| DOI: | 10.1155/2000/25954 |
| DOI/URL: | |
| Notes: | Export Date: 18 November 2015 -- Source: Scopus |
