e-CASES: HEREDITARY HEMORRHAGIC TELANGIECTASIA WITH LUNG ARTERIOVENOUS MALFORMATION
REPOSITORY: EXAMBANK - SECTION: THORACIC IMAGING
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Acute hemopthysis since 5 days on a 16 yo boy.
Spontaneous recurrent epistaxis in childhood
Findings
CT :
Multiple arterioveinous malformations (AVM) in right and left lung.
The biggest AVM is located on left upper lobe, with enlarged feeding artery and draining vein.
Lung angiography :
Pulmonary AVMs with single artery draining into an enlarged vein. Embolization with detachable metal coils.
Diagnosis
Hereditary hemorrhagic telangiectasia with lung arteriovenous malformation
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