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Case Report
  |   1701_116-122.pdf
J Korean Soc Neonatol. May;17(1):116-122.
Copyright ⓒ 2010 The Korean Society of Neonatology Neonatal Medicine
A Case of Intestinal Hemangioma Complicated with Thrombocytopenia (Kasabach-Merritt syndrome) in Premature Infant
Young Jin Lee, M.D., Sul Hee Bae, M.D., Eun Song Song, M.D., Soo Jin Na Choi, M.D.*, Yoon Ha Kim, M.D.† and Young Youn Choi, M.D.
Department of Pediatrics, Pediatric Surgery* and Obstetrics and Gynecology†, Chonnam University Hospital, Gwangju, Korea
ABSTRACT
Kasabach-Merritt syndrome is a rare thrombocytopenic consumptive coagulopathy associated with a giant hemangioma. We experienced a case of unexplained ascites with thrombocytopenia in a 32 week premature infant. An exploratory laparotomy was performed to determine the cause of the refractory ascites and thrombocytopenia. An intestinal hemangioma was found, but, surgical removal was not performed due to the extensive involvement. Hemangioma was confirmed by SPECT (single-photon emission computed tomography) and the thrombocytopenia was treated with steroid therapy. It is recommended that hemangioma of the visceral organs should be suspected when unexplained thrombocytopenia and disseminated intravascular coagulopathy persist.
Keywords: Kasabach-Merritt syndrome, Thrombocytopenia, Intestinal hemangioma, Disseminated intravascular coagulopathy
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