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

  • Satoru Hagiwara,
  • Toru Takase,
  • Itsuki Oda,
  • Yoriaki Komeda,
  • Naoshi Nishida,
  • Akihiro Yoshida,
  • Tomoki Yamamoto,
  • Takuya Matsubara,
  • Masatoshi Kudo

摘要

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.