Osler-Weber-Rendu Disease with Esophageal Varices and Hepatic Nodular Change

ArticleinInternal Medicine 46(12):849-54 · February 2007with18 Reads
Impact Factor: 0.90 · DOI: 10.2169/internalmedicine.46.6197 · Source: PubMed

    Abstract

    A 72-year-old male visited our hospital for further evaluation of esophageal varices. Telangiectasias were present in the stomach. He had recurrent epistaxis, which was also confirmed in his family's medical history. We diagnosed this case as Osler-Weber-Rendu disease. He had concomitant with hepatic nodular change. Abdominal angiography showed arterio-portal (A-P) shunts, superior mesenteric artery (SMA)-superior mesenteric vein (SMV) shunt, extension of SMV, and dilated and meandering portal vein. Esophageal varices were treated by endoscopic variceral ligation (EVL) and argon plasma coagulation (APC) therapy for prophylaxis of bleeding.