MEDizzy - During a routine complete blood count, a 43-year-old woman

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Liver II

During a routine complete blood count, a 43-year-old woman is found to have a platelet count of 53,000. During a thorough evaluation of the thrombocytopenia, an abdominal computed tomography (CT) scan reveals a 5-cm, benign-appearing mass in the right lobe of the liver. Additional laboratory tests are all unremarkable. (SELECT 1 DIAGNOSIS)

ExplanationA . Kasabach-Merritt syndrome is a rare syndrome characterized by sequestration of platelets, potentially leading to a thrombocytopenic coagulopathy. This syndrome is occasionally associated with large cavernous hemangiomas because of platelet sequestration within these lesions. This syndrome may also occur in children with hemangioendotheliomas, although these benign tumors are rare in adults.