Nucl Med Mol Imaging.  2009 Feb;43(1):83-86.

A Giant Hepatic Hemangioma Complicated by Kasabach-Merritt Syndrome: Findings of Tc-99m RBC Scintigraphy and SPECT Including a Total Body Blood Pool Imaging Study

Affiliations
  • 1Department of Nuclear, Chonbuk National University Medical School, Jeonju, Jeonbuk, Korea. mhsohn@chonbuk.ac.kr
  • 2Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Jeonbuk, Korea.
  • 3Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonju, Jeonbuk, Korea.

Abstract

Kasabach-Merritt syndrome (KMS) consists of thrombocytopenia, microangiopathic hemolytic anemia, and localized consumption coagulopathy that develops within vascular hemangioma. This syndrome may also be associated with occult hemangiomas located at various sites. Tc-99m RBC scintigraphy and SPECT have proven to be reliable for confirming or excluding hemangioma. Total body blood pool imaging study during the scintigraphy also provides a means of screening for occult lesions. The authors report the case of a 29-year-old man who presented with a giant hepatic hemangioma complicated by KMS, and underwent Tc-99m RBC scintigraphy and SPECT including a total body blood pool imaging study.

Keyword

Tc-99m RBC scintigraphy; Kasabach-Merritt syndrome; giant hemangioma; thrombocytopenia; coagulopathy

MeSH Terms

Adult
Anemia, Hemolytic
Disseminated Intravascular Coagulation
Hemangioma
Humans
Kasabach-Merritt Syndrome
Mass Screening
Thrombocytopenia
Tomography, Emission-Computed, Single-Photon
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