Hereditary hemorrhagic telangiectasia with hepatic arteriovenous shunt diagnosed due to liver damage

Clin J Gastroenterol. 2024 Jun;17(3):477-483. doi: 10.1007/s12328-024-01923-0. Epub 2024 Mar 4.

Abstract

A 53-year-old woman was diagnosed with liver dysfunction in August 20XX. Computed tomography (CT) revealed multiple hepatic AV shunts, and she was placed under observation. In March 20XX + 3, she developed back pain, and CT performed during an emergency hospital visit showed evidence of intrahepatic bile duct dilatation. She was referred to our gastroenterology department in May 20XX + 3. We conducted investigations on suspicion of hereditary hemorrhagic telangiectasia (HHT) with hepatic AV shunting based on contrast-enhanced CT performed at another hospital. HHT is generally discovered due to epistaxis, but there are also cases where it is diagnosed during examination of liver damage.

Keywords: Hepatic arteriovenous shunt; Hereditary hemorrhagic telangiectasia; Liver damage.

Publication types

  • Case Reports

MeSH terms

  • Arteriovenous Fistula / complications
  • Arteriovenous Fistula / diagnostic imaging
  • Female
  • Hepatic Artery / abnormalities
  • Hepatic Artery / diagnostic imaging
  • Hepatic Veins / abnormalities
  • Hepatic Veins / diagnostic imaging
  • Humans
  • Liver Diseases / diagnostic imaging
  • Liver Diseases / etiology
  • Middle Aged
  • Telangiectasia, Hereditary Hemorrhagic* / complications
  • Telangiectasia, Hereditary Hemorrhagic* / diagnostic imaging
  • Tomography, X-Ray Computed*