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Variceal haemorrhage in hereditary haemorrhagic telangiectasia
P L Zentler-Munro1, E R Howard, J Karani
1Liver Unit, King's College Hospital, London.
Abstract:
Hepatic in involvement in hereditary haemorrhagic telangiectasia can lead to cirrhosis and occasionally to portal hypertension and variceal haemorrhage. The ultrasonographic, arteriographic and histological findings are described in a patient with this complication. Hepatic artery embolisation proved unsuccessful in arresting repeated haemorrhage which was eventually controlled by hepatic artery ligation. Porto-systemic venous shunting, an apparently logical approach to management, would probably have aggravated the problem.
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