title: Variceal haemorrhage in hereditary haemorrhagic telangiectasia.
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.
authors: Liver Unit, King's College Hospital, London.
authors: P L
authors: PL
authors: Zentler-Munro
authors: E R
authors: ER
authors: Howard
authors: J
authors: J
authors: Karani
authors: R
authors: R
authors: Williams
mesh_terms: D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D008026:Ligation; D008099:Liver / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications*; D014648:Varicose Veins / Q000209:etiology* / Q000628:therapy