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Abdomen » Hepatobiliary
Kasabach Meritt syndrome with associated cholelithiasis and choledocholithiasis
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Author(s) :
Chaitali Shah, FRCR
 
Presentation This is a follow-up scan in a 40-year-old woman with an established diagnosis. She is status post liver embolization for her condition. What is this syndrome? [clue: she has a histroy of thrombocytopenia]
 
 
 
Caption: Transverse scan of the liver
Description: The liver demonstrates a coarse and heterogeneous echotexture. Multiple, diffuse echogenic foci are seen scattered throughout the liver. The gall bladder appears distended.
 
 
 
Caption: Sagittal scan of the liver
Description: The liver appears enlarged and demonstrates a coarse echotexture. Multiple echogenic foci are seen scattered throughout the liver.
 
 
 
Caption: Transverse scan of the liver
Description: There is evidence of ascites. The heterogeneous appearance of the liver is well appreciated in this image.
 
 
 
Caption: Color Doppler sagittal image
Description: None of the echogenic foci exhibit internal vascularity.
 
Differential Diagnosis Kasabach Meritt syndrome with associated cholelithiasis and choledocholithiasis
 
Final Diagnosis Kasabach Meritt syndrome with associated cholelithiasis and choledocholithiasis
 
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