Surgical Intervention for a Large Hepatic Cavernous Hemangioma Complicated by Kasabach–Merritt Syndrome in an Adult Patient: A Case Study
Overview
This case study presents a 25-year-old woman with a giant hepatic cavernous hemangioma complicated by Kasabach-Merritt syndrome, highlighting the diagnostic challenges.
Background
Hepatic cavernous hemangiomas are the most common benign liver tumors, yet their association with Kasabach-Merritt syndrome (KMS) is rare in adults. KMS, characterized by severe coagulopathy, can lead to significant morbidity and mortality if not addressed.
Data Highlights
No numerical data or trial data presented.
Key Findings
A 25-year-old woman presented with a giant hepatic lesion and severe coagulopathy.
Imaging revealed a predominantly calcified mass with atypical features, raising suspicion for hamartoma or cystadenoma.
Multidisciplinary team discussions led to the diagnosis of Kasabach-Merritt syndrome secondary to the hemangioma.
Anatomical left lateral sectionectomy was performed successfully, with histopathology confirming cavernous hemangioma.
Postoperative recovery included normalization of fibrinogen levels.
Clinical Implications
The case underscores the necessity for a multidisciplinary approach in diagnosing complex hepatic lesions. Early surgical intervention can be curative in cases of KMS associated with giant hepatic hemangiomas.
Conclusion
This case study highlights the management of a rare complication of hepatic hemangioma.
