Giant lobular capillary hemangioma of the palate associated with Kasabach-Merritt syndrome

We report the case of a 2-month-old male infant who presented with an enlarging palatal mass. There was bleeding from the mass and laboratory studies showed thrombocytopenia and consumptive coagulopathy. The bleeding mass was associated with Kasabach-Merritt syndrome. After initial medical therapy, we resected the mass surgically. Pathological examination revealed a lobular capillary hemangioma. Subsequently, the palate healed uneventfully. To our knowledge, this is the first reported case of lobular capillary hemangioma of the palate complicated by Kasabach-Merritt syndrome. Early detection and optimal treatment of a congenital palatal hemangioma associated with Kasabach-Merritt syndrome may be challenging, but physicians should be aware of this serious complication.