대한핵의학회지 (1967년~2009년)
Nucl Med Mol Imaging 2009;43(1)83~86
Kasabach-Merritt 증후군을 동반한 거대 간 혈관종: Tc-99m 적혈구 간 및 전신 혈액풀 신티그래피와 SPECT소견
(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)
Author 손명희, 정환정, 임석태, 김동욱, 임창열,
Myung-Hee Sohn, Hwan-Jeong Jeong, Seok Tae Lim, Dong Wook Kim, Chang-Yeol Yim
Affiliation 전북대학교 의학전문대학원 핵의학교실1, 내과학교실2, 임상의학연구소3
Departments of 1Nuclear and 2Internal Medicine, and the 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. (Nucl Med Mol Imaging 2009;43(1):83-86)

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