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Case report: Subutaneous hemangiomatosis causing Kasabach-Merritt syndrome - MRI features.

Jain TP, Sharma R, Gupta R - Indian J Radiol Imaging (2008)

Bottom Line: Plain radiographs, in addition to showing a soft tissue mass, also show a variety of findings in the bones.MRI is the investigation of choice.A case of a 2-year-old child suffering from hemangiomatosis and a resultant Kasabach-Merritt syndrome is presented.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, All India Institute of Medical Sciences, New Delhi - 110 029, India.

ABSTRACT
Hemangiomatosis is an uncommon entity in which there is diffuse infiltration of soft tissue or bone by hemangioma. Kasabach-Merritt syndrome is an uncommon complication of large hemangiomas, in which there is thrombocytopenia and coagulopathy. Plain radiographs, in addition to showing a soft tissue mass, also show a variety of findings in the bones. MRI is the investigation of choice. A case of a 2-year-old child suffering from hemangiomatosis and a resultant Kasabach-Merritt syndrome is presented.

No MeSH data available.


Related in: MedlinePlus

Fat-saturated, coronal T2W MRI image (A) of the chest and abdomen shows a diffusely infiltrating hyperintense lesion (arrows) in the soft tissues of the lower neck, shoulder, axillae, and chest wall, extending into the anterior mediastinum (arrows) with a few areas of focal hypointensity (arrowheads). The axial T1W MRI image (B) of the upper thorax shows the lesion to be hypointense (arrows) with interspersed fat (arrowheads)
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Figure 0002: Fat-saturated, coronal T2W MRI image (A) of the chest and abdomen shows a diffusely infiltrating hyperintense lesion (arrows) in the soft tissues of the lower neck, shoulder, axillae, and chest wall, extending into the anterior mediastinum (arrows) with a few areas of focal hypointensity (arrowheads). The axial T1W MRI image (B) of the upper thorax shows the lesion to be hypointense (arrows) with interspersed fat (arrowheads)

Mentions: MRI showed a diffusely infiltrating lesion in the soft tissues of the lower neck, shoulder, both axillae, and the chest wall, with extension into the anterior mediastinum. It was predominantly hyperintense on the T2W images [Figure 2a] with few focal hypointense areas, likely due to fibrous tissue or areas of thrombosis; there was variable hypointensity on T1W images with interspersed fat [Figure 2b]. In diffuse hemangiomatosis, the presence of fat throughout the lesion can be demonstrated by MRI and this helps in making this diagnosis. There was no evidence of any other lesion in the chest or abdomen.


Case report: Subutaneous hemangiomatosis causing Kasabach-Merritt syndrome - MRI features.

Jain TP, Sharma R, Gupta R - Indian J Radiol Imaging (2008)

Fat-saturated, coronal T2W MRI image (A) of the chest and abdomen shows a diffusely infiltrating hyperintense lesion (arrows) in the soft tissues of the lower neck, shoulder, axillae, and chest wall, extending into the anterior mediastinum (arrows) with a few areas of focal hypointensity (arrowheads). The axial T1W MRI image (B) of the upper thorax shows the lesion to be hypointense (arrows) with interspersed fat (arrowheads)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2747466&req=5

Figure 0002: Fat-saturated, coronal T2W MRI image (A) of the chest and abdomen shows a diffusely infiltrating hyperintense lesion (arrows) in the soft tissues of the lower neck, shoulder, axillae, and chest wall, extending into the anterior mediastinum (arrows) with a few areas of focal hypointensity (arrowheads). The axial T1W MRI image (B) of the upper thorax shows the lesion to be hypointense (arrows) with interspersed fat (arrowheads)
Mentions: MRI showed a diffusely infiltrating lesion in the soft tissues of the lower neck, shoulder, both axillae, and the chest wall, with extension into the anterior mediastinum. It was predominantly hyperintense on the T2W images [Figure 2a] with few focal hypointense areas, likely due to fibrous tissue or areas of thrombosis; there was variable hypointensity on T1W images with interspersed fat [Figure 2b]. In diffuse hemangiomatosis, the presence of fat throughout the lesion can be demonstrated by MRI and this helps in making this diagnosis. There was no evidence of any other lesion in the chest or abdomen.

Bottom Line: Plain radiographs, in addition to showing a soft tissue mass, also show a variety of findings in the bones.MRI is the investigation of choice.A case of a 2-year-old child suffering from hemangiomatosis and a resultant Kasabach-Merritt syndrome is presented.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, All India Institute of Medical Sciences, New Delhi - 110 029, India.

ABSTRACT
Hemangiomatosis is an uncommon entity in which there is diffuse infiltration of soft tissue or bone by hemangioma. Kasabach-Merritt syndrome is an uncommon complication of large hemangiomas, in which there is thrombocytopenia and coagulopathy. Plain radiographs, in addition to showing a soft tissue mass, also show a variety of findings in the bones. MRI is the investigation of choice. A case of a 2-year-old child suffering from hemangiomatosis and a resultant Kasabach-Merritt syndrome is presented.

No MeSH data available.


Related in: MedlinePlus