Massive hepatic hemangioma complicated by Kasabach-Merritt syndrome

Xixi Gao, Jia Huang, Zhiying Yang · 2026

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Description

Xixi Gao, Jia Huang, and Zhiying Yang document in 2026 a giant liver hemangioma that grew until it consumed platelets and clotting factors in Kasabach-Merritt syndrome. The patient, a 22-year-old man, carried a benign vessel tumor measured at fifteen centimeters in 2020. By May 2024 he arrived with a swelling abdomen; scans showed the mass at 29 by 34.6 centimeters. An embolization meant to shrink it backfired, and by November the tumor neared fifty centimeters, leaving him unable to lie flat or breathe comfortably.

Blood tests confirmed the consumption syndrome: platelets at 92, fibrinogen nearly absent at 0.6 grams per liter, and clotting times stretched. Because the remaining liver lobe still topped thirty percent of standard volume, surgeons removed the right three sections in December 2024. Recovery was smooth, the syndrome resolved completely, and blood values normalized by discharge on day nine. A year later he was asymptomatic, with only small stable hemangiomas left behind.

Catalog record

CREATORXixi Gao, Jia Huang, Zhiying Yang
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE5004
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13449860

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