Congestive cirrhosis in Osler-Weber-Rendu syndrome: A rare case report

Hereditary hemorrhagic telangiectasia or Osler-Weber-Rendu syndrome is a rare autosomal dominant vascular disorder characterized by epistaxis, mucocutaneous telangiectasias, and arteriovenous malformations affecting various organs and systems. The liver is a commonly involved organ (74% of patients...

Full description

Bibliographic Details
Main Authors: Patrícia Leitão, PhD, André Carvalho, MD, Conceição Guerra, MD, José Gonçalves, MD, Isabel Ramos, PhD
Format: Article
Language:English
Published: Elsevier 2018-02-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043317303941
_version_ 1811194409634496512
author Patrícia Leitão, PhD
André Carvalho, MD
Conceição Guerra, MD
José Gonçalves, MD
Isabel Ramos, PhD
author_facet Patrícia Leitão, PhD
André Carvalho, MD
Conceição Guerra, MD
José Gonçalves, MD
Isabel Ramos, PhD
author_sort Patrícia Leitão, PhD
collection DOAJ
description Hereditary hemorrhagic telangiectasia or Osler-Weber-Rendu syndrome is a rare autosomal dominant vascular disorder characterized by epistaxis, mucocutaneous telangiectasias, and arteriovenous malformations affecting various organs and systems. The liver is a commonly involved organ (74% of patients with hereditary hemorrhagic telangiectasia), although symptomatic liver disease is quite infrequent. In symptomatic cases, clinical manifestations relate most commonly to the predominant type of vascular shunting present (arteriovenous, arterioportal, or portovenous). Clinically, liver disease can manifest as a high-output cardiac failure, portal hypertension, or biliary disease. Imaging plays an important role in diagnosis, characterization, and follow-up of liver involvement, with ultrasound, computed tomography, magnetic resonance imaging, and angiography being useful in this context. We present a case of congestive cirrhosis with florid liver findings in a patient with Osler-Weber-Rendu syndrome. Imaging findings that clinched the diagnosis are reviewed. A brief literature review is also provided.
first_indexed 2024-04-12T00:25:31Z
format Article
id doaj.art-725cc9a1aa774380ba1e3b6f9eb085df
institution Directory Open Access Journal
issn 1930-0433
language English
last_indexed 2024-04-12T00:25:31Z
publishDate 2018-02-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj.art-725cc9a1aa774380ba1e3b6f9eb085df2022-12-22T03:55:32ZengElsevierRadiology Case Reports1930-04332018-02-01131515410.1016/j.radcr.2017.10.011Congestive cirrhosis in Osler-Weber-Rendu syndrome: A rare case reportPatrícia Leitão, PhD0André Carvalho, MD1Conceição Guerra, MD2José Gonçalves, MD3Isabel Ramos, PhD4Radiology Department, Centro Hospitalar São João, Porto, PortugalRadiology Department, Centro Hospitalar São João, Porto, PortugalRadiology Department, Centro Hospitalar São João, Porto, PortugalRadiology Department, Centro Hospitalar São João, Porto, PortugalRadiology Department, Centro Hospitalar São João, Porto, PortugalHereditary hemorrhagic telangiectasia or Osler-Weber-Rendu syndrome is a rare autosomal dominant vascular disorder characterized by epistaxis, mucocutaneous telangiectasias, and arteriovenous malformations affecting various organs and systems. The liver is a commonly involved organ (74% of patients with hereditary hemorrhagic telangiectasia), although symptomatic liver disease is quite infrequent. In symptomatic cases, clinical manifestations relate most commonly to the predominant type of vascular shunting present (arteriovenous, arterioportal, or portovenous). Clinically, liver disease can manifest as a high-output cardiac failure, portal hypertension, or biliary disease. Imaging plays an important role in diagnosis, characterization, and follow-up of liver involvement, with ultrasound, computed tomography, magnetic resonance imaging, and angiography being useful in this context. We present a case of congestive cirrhosis with florid liver findings in a patient with Osler-Weber-Rendu syndrome. Imaging findings that clinched the diagnosis are reviewed. A brief literature review is also provided.http://www.sciencedirect.com/science/article/pii/S1930043317303941Osler-Weber-Rendu syndromeLiver cirrhosisVascular shunts
spellingShingle Patrícia Leitão, PhD
André Carvalho, MD
Conceição Guerra, MD
José Gonçalves, MD
Isabel Ramos, PhD
Congestive cirrhosis in Osler-Weber-Rendu syndrome: A rare case report
Radiology Case Reports
Osler-Weber-Rendu syndrome
Liver cirrhosis
Vascular shunts
title Congestive cirrhosis in Osler-Weber-Rendu syndrome: A rare case report
title_full Congestive cirrhosis in Osler-Weber-Rendu syndrome: A rare case report
title_fullStr Congestive cirrhosis in Osler-Weber-Rendu syndrome: A rare case report
title_full_unstemmed Congestive cirrhosis in Osler-Weber-Rendu syndrome: A rare case report
title_short Congestive cirrhosis in Osler-Weber-Rendu syndrome: A rare case report
title_sort congestive cirrhosis in osler weber rendu syndrome a rare case report
topic Osler-Weber-Rendu syndrome
Liver cirrhosis
Vascular shunts
url http://www.sciencedirect.com/science/article/pii/S1930043317303941
work_keys_str_mv AT patricialeitaophd congestivecirrhosisinoslerweberrendusyndromeararecasereport
AT andrecarvalhomd congestivecirrhosisinoslerweberrendusyndromeararecasereport
AT conceicaoguerramd congestivecirrhosisinoslerweberrendusyndromeararecasereport
AT josegoncalvesmd congestivecirrhosisinoslerweberrendusyndromeararecasereport
AT isabelramosphd congestivecirrhosisinoslerweberrendusyndromeararecasereport