TY - JOUR T1 - Variceal haemorrhage in hereditary haemorrhagic telangiectasia. JF - Gut JO - Gut SP - 1293 LP - 1297 DO - 10.1136/gut.30.9.1293 VL - 30 IS - 9 AU - P L Zentler-Munro AU - E R Howard AU - J Karani AU - R Williams Y1 - 1989/09/01 UR - http://gut.bmj.com/content/30/9/1293.abstract N2 - 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. ER -