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Journal of the Korean Society of Neonatology 2010;17(1):116-122.
Published online May 1, 2010.
A Case of Intestinal Hemangioma Complicated with Thrombocytopenia (Kasabach-Merritt syndrome) in Premature Infant.
Young Jin Lee, Sul Hee Bae, Eun Song Song, Soo Jin Choi, Yoon Ha Kim, Young Youn Choi
1Department of Pediatrics, Chonnam University Hospital, Gwangju, Korea. yychoi@chonnam.ac.kr
2Department of Pediatric Surgery, Chonnam University Hospital, Gwangju, Korea.
3Department of Obstetrics and Gynecology, Chonnam University Hospital, Gwangju, Korea.
미숙아에서 혈소판 감소증에 의해 발견된 장 혈관종 (Kasabach-Meritt 증후군) 1례
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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.
Key Words: Kasabach-Merritt syndrome, Thrombocytopenia, Intestinal hemangioma, Disseminated intravascular coagulopathy


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