Kasabach Merrit Syndrome in a Third Trimester Pregnancy

The case report deals with a third trimester pregnant female who presented with a mass in the dorsal paraspinal region (D7) resulting in rapid onset paraparesis gradually increasing in severity. The mass was of vascular nature (Haemangioma) on MRI, which on histopathology was confirmed as infiltrating ingiolipoma. Complications in haemangiomas occur and one such being the “Kasabach Merritt syndrome” consisting a triad of thrombocytopenia, haemangioma and coagulopathy, also dubbed as the “Haemangioma Thrombocytopenia Syndrome”. But its presentation in third trimester is definitely an unusual presentation considering the fact that such thrombocytopenic syndromes usually occur with congenital haemangiomas and with other benign vascular lesions in infants. The present case deals with the mass in dorsal spinal area resulting in compressive myelopathy as well as thrombocytopenic coagulopathy. Keyword: Paraspinal; Paraparesis; Haemangioma; MRI; Angiolipoma; Thrombocytopenia; Coagulopathy; Myelopathy; Kasabach Merritt Syndrome DOI: 10.3329/jom.v12i1.6207J Medicine 2011; 12 : 66-69