Skip to main content
Top
Published in: Skeletal Radiology 4/2023

10-08-2022 | Kasabach-Merritt Syndrome | Case Report

Kaposiform haemangioendothelioma of the spine associated with fixed hyperlordotic deformity and Kasabach–Merritt Syndrome: a case report and literature review

Authors: Leanne H. Q. Chin, Kevin K. F. Fung, Joyce P. K. Chan, Amanda N. C. Kan, M. K. Yuen

Published in: Skeletal Radiology | Issue 4/2023

Login to get access

Abstract

Kaposiform haemangioendothelioma (KHE) is a rare childhood disease classified by the International Society for the Study of Vascular Anomalies (ISSVA) as a locally aggressive vascular tumor. It has been reported to affect any site, with a predilection for the extremities and trunk. Although it typically manifests as an enlarging cutaneous or soft tissue lesion, less than 10% of cases have no skin involvement, with the retroperitoneum being the most frequently involved extracutaneous site. Approximately twenty cases of KHE with bony involvement have been reported in the literature to date, with only five of those cases involving the spine specifically.
We present a, rare case of KHE who presented with progressive fixed hyperlordotic deformity, multiple non-specific spinal lesions, and abnormal blood tests, posing a clinical and radiological diagnostic challenge. Additionally, we conducted a thorough review of the literature to compare and contrast the various multimodality imaging manifestations of KHE involving the spine.
Literature
1.
go back to reference Zukerberg LR, Nickoloff BJ, Weiss SW. Kaposiform hemangioendothelioma of infancy and childhood An aggressive neoplasm associated with Kasabach-Merritt syndrome and lymphangiomatosis Am. J Surg Pathol. 1993;17(4):321–8.CrossRef Zukerberg LR, Nickoloff BJ, Weiss SW. Kaposiform hemangioendothelioma of infancy and childhood An aggressive neoplasm associated with Kasabach-Merritt syndrome and lymphangiomatosis Am. J Surg Pathol. 1993;17(4):321–8.CrossRef
2.
go back to reference Croteau SE, Liang MG, Kozakewich HP, et al. Kaposiform hemangioendothelioma: atypical features and risks of Kasabach-Merritt phenomenon in 107 referrals. J Pediatr. 2013;162(1):142–7.CrossRefPubMed Croteau SE, Liang MG, Kozakewich HP, et al. Kaposiform hemangioendothelioma: atypical features and risks of Kasabach-Merritt phenomenon in 107 referrals. J Pediatr. 2013;162(1):142–7.CrossRefPubMed
3.
go back to reference Schmid I, Klenk AK, Sparber-Sauer M, Koscielniak E, Maxwell R, Häberle B. Kaposiform hemangioendothelioma in children: a benign vascular tumor with multiple treatment options. World J Pediatr. 2018;14(4):322–9.CrossRefPubMed Schmid I, Klenk AK, Sparber-Sauer M, Koscielniak E, Maxwell R, Häberle B. Kaposiform hemangioendothelioma in children: a benign vascular tumor with multiple treatment options. World J Pediatr. 2018;14(4):322–9.CrossRefPubMed
4.
go back to reference International Society for the Study of Vascular Anomalies. ISSVA classification of vascular anomalies ©2014. 2017. Available from: issva.org/classification International Society for the Study of Vascular Anomalies. ISSVA classification of vascular anomalies ©2014. 2017. Available from: issva.org/classification
5.
go back to reference Niedt GW, Greco MA, Wieczorek R, Blanc WA, Knowles DM. Hemangioma with Kaposi’s sarcoma-like features: report of two cases. Pediatr Pathol. 1989;9(5):567–75.CrossRefPubMed Niedt GW, Greco MA, Wieczorek R, Blanc WA, Knowles DM. Hemangioma with Kaposi’s sarcoma-like features: report of two cases. Pediatr Pathol. 1989;9(5):567–75.CrossRefPubMed
6.
go back to reference Hu P, Zhou Z. Clinical and imaging features of Kaposiform Hemangioendothelioma. Br J Radiol. 2018;91(1086). Hu P, Zhou Z. Clinical and imaging features of Kaposiform Hemangioendothelioma. Br J Radiol. 2018;91(1086).
7.
go back to reference Liu Q, Jiang L, Wu D, et al. Clinicopathological features of kaposiform hemangioendothelioma. Int J Clin Exp Pathol. 2015;8(10):13711–8.PubMedPubMedCentral Liu Q, Jiang L, Wu D, et al. Clinicopathological features of kaposiform hemangioendothelioma. Int J Clin Exp Pathol. 2015;8(10):13711–8.PubMedPubMedCentral
8.
9.
go back to reference Kasabach HH, Merritt KK. Capillary hemangioma with extensive purpura: report of a case. Am J Dis Child. 1940;59(5):1063–70.CrossRef Kasabach HH, Merritt KK. Capillary hemangioma with extensive purpura: report of a case. Am J Dis Child. 1940;59(5):1063–70.CrossRef
10.
go back to reference Sarkar M, Mulliken JB, Kozakewich HP, Robertson RL, Burrows PE. Thrombocytopenic coagulopathy (Kasabach-Merritt phenomenon) is associated with Kaposiform hemangioendothelioma and not with common infantile hemangioma. Plast Reconstr Surg. 1997;100(6):1377–86.CrossRefPubMed Sarkar M, Mulliken JB, Kozakewich HP, Robertson RL, Burrows PE. Thrombocytopenic coagulopathy (Kasabach-Merritt phenomenon) is associated with Kaposiform hemangioendothelioma and not with common infantile hemangioma. Plast Reconstr Surg. 1997;100(6):1377–86.CrossRefPubMed
11.
go back to reference Enjolras O, Wassef M, Mazoyer E, et al. Infants with Kasabach-Merritt syndrome do not have “true” hemangiomas. J Pediatr. 1997;130(4):631–40.CrossRefPubMed Enjolras O, Wassef M, Mazoyer E, et al. Infants with Kasabach-Merritt syndrome do not have “true” hemangiomas. J Pediatr. 1997;130(4):631–40.CrossRefPubMed
12.
go back to reference Eseonu K, Anwar H. Kaposiform hemangioendothelioma in the thoracic spine: a case report and review of the literature. Int J Spine Surg. 2020;14(3):426–32.CrossRefPubMedPubMedCentral Eseonu K, Anwar H. Kaposiform hemangioendothelioma in the thoracic spine: a case report and review of the literature. Int J Spine Surg. 2020;14(3):426–32.CrossRefPubMedPubMedCentral
13.
go back to reference Ryu YJ, Choi YH, Cheon J-E, et al. Imaging findings of Kaposiform Hemangioendothelioma in children. Eur J Radiol. 2017;86:198–205.CrossRefPubMed Ryu YJ, Choi YH, Cheon J-E, et al. Imaging findings of Kaposiform Hemangioendothelioma in children. Eur J Radiol. 2017;86:198–205.CrossRefPubMed
14.
go back to reference Ji Y, Chen S, Peng S, Xia C, Li L. Kaposiform lymphangiomatosis and kaposiform hemangioendothelioma: similarities and differences. Orphanet J Rare Dis. 2019;14:165.CrossRefPubMedPubMedCentral Ji Y, Chen S, Peng S, Xia C, Li L. Kaposiform lymphangiomatosis and kaposiform hemangioendothelioma: similarities and differences. Orphanet J Rare Dis. 2019;14:165.CrossRefPubMedPubMedCentral
15.
go back to reference Lyons LL, North PE, Mac-Moune Lai F, Stoler MH, Folpe AL, Weiss SW. Kaposiform hemangioendothelioma: a study of 33 cases emphasizing its pathologic, immunophenotypic, and biologic uniqueness from juvenile hemangioma. Am J Surg Pathol. 2004;28(5):559–68.CrossRefPubMed Lyons LL, North PE, Mac-Moune Lai F, Stoler MH, Folpe AL, Weiss SW. Kaposiform hemangioendothelioma: a study of 33 cases emphasizing its pathologic, immunophenotypic, and biologic uniqueness from juvenile hemangioma. Am J Surg Pathol. 2004;28(5):559–68.CrossRefPubMed
16.
go back to reference Glaser K, Dickie P, Dickie BH. Proliferative cells from kaposiform lymphangiomatosis lesions resemble mesenchyme stem cell-like pericytes defective in vessel formation. J Pediatr Hematol Oncol. 2018;40(8):e495–504.CrossRefPubMed Glaser K, Dickie P, Dickie BH. Proliferative cells from kaposiform lymphangiomatosis lesions resemble mesenchyme stem cell-like pericytes defective in vessel formation. J Pediatr Hematol Oncol. 2018;40(8):e495–504.CrossRefPubMed
17.
go back to reference Goyal P, Alomari AI, Kozakewich HP, et al. Imaging features of kaposiform lymphangiomatosis. Pediatr Radiol. 2016;46(9):1282–90.CrossRefPubMed Goyal P, Alomari AI, Kozakewich HP, et al. Imaging features of kaposiform lymphangiomatosis. Pediatr Radiol. 2016;46(9):1282–90.CrossRefPubMed
18.
go back to reference Drolet BA, Trenor CC, Brandão LR, et al. Consensus-derived practice standards plan for complicated Kaposiform hemangioendothelioma. J Pediatr. 2013;163(1):285–91.CrossRefPubMed Drolet BA, Trenor CC, Brandão LR, et al. Consensus-derived practice standards plan for complicated Kaposiform hemangioendothelioma. J Pediatr. 2013;163(1):285–91.CrossRefPubMed
20.
go back to reference Lisle JW, Bradeen HA, Kalof AN. Kaposiform hemangioendothelioma in multiple spinal levels without skin changes. Clin Orthop Relat Res. 2009;467(9):2464–71.CrossRefPubMedPubMedCentral Lisle JW, Bradeen HA, Kalof AN. Kaposiform hemangioendothelioma in multiple spinal levels without skin changes. Clin Orthop Relat Res. 2009;467(9):2464–71.CrossRefPubMedPubMedCentral
21.
go back to reference Zhu Y, Qiu G, Zhao H, Liang J, Shi X. Kaposiform hemangioendothelioma with adolescent thoracic scoliosis: a case report and review of literature. Eur Spine J. 2011;20(Suppl 2):S309-313.CrossRefPubMed Zhu Y, Qiu G, Zhao H, Liang J, Shi X. Kaposiform hemangioendothelioma with adolescent thoracic scoliosis: a case report and review of literature. Eur Spine J. 2011;20(Suppl 2):S309-313.CrossRefPubMed
22.
go back to reference Liu F-S, Zou M-X, Zheng B-W, Wang X-B, Lyu G-H, Li J. A report on Kaposiform hemangioendothelioma in the cervical spine. Chin Med J (Engl). 2019;132(11):1378–80.CrossRefPubMed Liu F-S, Zou M-X, Zheng B-W, Wang X-B, Lyu G-H, Li J. A report on Kaposiform hemangioendothelioma in the cervical spine. Chin Med J (Engl). 2019;132(11):1378–80.CrossRefPubMed
23.
go back to reference Kim J, Kim YH, Kim H, Chang B-S, Lee C-K, Chang SY. Kaposiform Hemangioendothelioma in adolescent-onset scoliosis: a case report and review of literature. Case Rep Orthop. 2020;2020:1839053.PubMedPubMedCentral Kim J, Kim YH, Kim H, Chang B-S, Lee C-K, Chang SY. Kaposiform Hemangioendothelioma in adolescent-onset scoliosis: a case report and review of literature. Case Rep Orthop. 2020;2020:1839053.PubMedPubMedCentral
Metadata
Title
Kaposiform haemangioendothelioma of the spine associated with fixed hyperlordotic deformity and Kasabach–Merritt Syndrome: a case report and literature review
Authors
Leanne H. Q. Chin
Kevin K. F. Fung
Joyce P. K. Chan
Amanda N. C. Kan
M. K. Yuen
Publication date
10-08-2022
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 4/2023
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-022-04152-z

Other articles of this Issue 4/2023

Skeletal Radiology 4/2023 Go to the issue