Rinsho Ketsueki
Online ISSN : 1882-0824
Print ISSN : 0485-1439
ISSN-L : 0485-1439
A Case of Kasabach-Merritt Syndrome with Giant Liver Hemangioma
Masao TANAKAYasumitsu NAKAIDEYoshihisa FUJIHARAYutaka HIROTATakeshi OHKITAMansmasa HORISAWA
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1986 Volume 27 Issue 9 Pages 1656-1660

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Abstract

We present a case of 50 year-old woman with giant hemangioma of the whole right lobe of the liver, with abnormalities of the hemostatic system characteristic of disseminated intrascular coagulation. The presence of giant hemangioma of the liver was confirmed by means of CT scanning of the abdomen and the selective arteriography of the liver via superior mesenteric artery. Following treatmnet with continuous I.V. heparin infusion, abnormal hemostatic values were corrected, which included a rise in fibrinogen, Factor V, and VIII levels, and platelet counts. When the heparin treatment was discontinued, the consumption coagulopathy with secondary fibrinolysis developed again. Removal of the liver hemangioma completely normalized the alterations of the clotting system.

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© 1986 The Japanese Society of Clinical Hematology
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