To report a case of a giant hepatic cavernous hemangioma complicated by Kasabach-Merritt syndrome in an adult, highlighting the diagnostic challenges and the role of surgical intervention.
Approach:
Case Presentation: A 25-year-old woman with a 3-year history of an enlarging abdominal mass and severe coagulopathy underwent imaging and surgical intervention.
Surgical Intervention: An anatomical left lateral sectionectomy was performed, leading to normalization of coagulation parameters postoperatively.
Key Findings:
The patient presented with a giant hepatic lesion that exhibited atypical imaging features, complicating the diagnosis.
Histopathology confirmed cavernous hemangioma with thrombosis, infarction, and calcification.
Postoperative coagulation parameters normalized immediately after surgical resection.
Interpretation:
This case illustrates the diagnostic challenges posed by non-enhancing giant hepatic hemangiomas and the role of surgical resection in managing Kasabach-Merritt syndrome.
Limitations:
The rarity of adult cases of Kasabach-Merritt syndrome limits the generalizability of the findings.
Atypical imaging features may lead to misdiagnosis and delayed treatment.
Conclusion:
Surgical resection is a curative treatment for giant hepatic hemangiomas associated with Kasabach-Merritt syndrome.
