Case Report: Surgical management of giant hepatic cavernous haemangioma with Kasabach–Merritt syndrome in an adult

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A 25-year-old woman with a giant hepatic lesion presented with severe coagulopathy and was diagnosed with Kasabach-Merritt syndrome.
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Imaging revealed a predominantly calcified hepatic mass lacking typical enhancement, complicating the diagnosis.
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Surgical intervention included an anatomical left lateral sectionectomy, which successfully removed the cavernous hemangioma.
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Postoperative recovery showed immediate normalization of coagulation parameters, confirming resolution of Kasabach-Merritt syndrome.
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This case highlights the diagnostic challenges of non-enhancing giant hepatic hemangiomas and the effectiveness of surgical resection.

Frontiers In Medicine

by Liuyang Xu, Jianwei Bai, Zhenqian Tu, Yuan Zhu, Zeng Ye, Xiaofeng Liao, Xiaogang Li
July 13, 2026

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