CASE REPORT
Giant hepatic hemangioma with Kasabach-Merritt syndrome treated with right hepatectomy: a case report with literature review
1
Department of Hepatobiliary and Liver Transplant Surgery, Shalby Hospitals, Ahmedabad, Gujarat 380015, India
Submission date: 2023-08-30
Final revision date: 2023-09-29
Acceptance date: 2023-11-19
Publication date: 2023-12-21
Corresponding author
Bhavin Vasavada
Department of Hepatobiliary and Liver Transplant Surgery, Shalby Hospitals, Ahmedabad, Gujarat 380015, India
Department of Hepatobiliary and Liver Transplant Surgery, Shalby Hospitals, Ahmedabad, Gujarat 380015, India
Medicine and Public Health 2023;1(2):1-6
KEYWORDS
TOPICS
ABSTRACT
Background:
We present a case of giant hepatic hemangioma with kasabach merritt syndrome.
Material and methods:
Thirty seven-year-old female presented to us with 6 month history of recurrent abdominal pain, weight loss. CT scan was suggestive of huge right liver mass involving entire right lobe, suggestive of hemangioma. Her blood chemistry showed platelet count of 68000 and INR of 1.4 suggestive of kasabach merritt syndrome.
Results:
In view of size of the mass, symptoms and associated kasabach merritt syndrome, patient was offered surgical removal of the tumor. On exploration tumor was entirely involving right lobe and right hepatectomy was done. Hemangioma was of 25 cm *20cm*16 cm and weighed 1.8 kg. Postoperative course of the patient was uneventful. On day 3 platelet count was improved to 98000 and INR improved to 1.2. Patient was discharged on day 5.
Conclusions:
Right hepatectomy for giant hemangioma of liver is safe procedure and can be curative for associated kasalbach merritt syndrome
We present a case of giant hepatic hemangioma with kasabach merritt syndrome.
Material and methods:
Thirty seven-year-old female presented to us with 6 month history of recurrent abdominal pain, weight loss. CT scan was suggestive of huge right liver mass involving entire right lobe, suggestive of hemangioma. Her blood chemistry showed platelet count of 68000 and INR of 1.4 suggestive of kasabach merritt syndrome.
Results:
In view of size of the mass, symptoms and associated kasabach merritt syndrome, patient was offered surgical removal of the tumor. On exploration tumor was entirely involving right lobe and right hepatectomy was done. Hemangioma was of 25 cm *20cm*16 cm and weighed 1.8 kg. Postoperative course of the patient was uneventful. On day 3 platelet count was improved to 98000 and INR improved to 1.2. Patient was discharged on day 5.
Conclusions:
Right hepatectomy for giant hemangioma of liver is safe procedure and can be curative for associated kasalbach merritt syndrome
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