Can you guess the cause of the patient’s bleed?

September 18, 2013

A 75 year old woman comes in with an acute gastrointestinal bleed and a history of recurrent nose bleeds. Based on these pictures, do you know the cause? (scroll down for the answer)

This is a patient with hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome) and both bleeds have been caused by telangiectasia throughout her upper airways and GI tract. In some cases GI bleeds can be caused by arterial-vascular malformations (AVM’s). Of note, the patient has issues with hepatic encephalopathy due to AVM’s in the liver. Sometimes, these patients get hypoxia. Any guess as to why?

Subscribe to our mailing list

 

Related Pages