Haemoperitoneum with hereditary haemorrhagic telangiectasia

Dietrich, Alexander; Cristiano, Agustín; Serra, Marcelo; García-Mónaco, Ricardo; Santibañes, Martín de

doi:10.1016/s0140-6736(12)62172-2

Cited by 2 publications

(1 citation statement)

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“…9 Several recent meta-analyses have established high diagnostic accuracy in the diagnosis of communityacquired pneumonia. [10][11][12] Hereditary hemorrhagic telangiectasia, or Olser-Weber-Rendu syndrome, is a congenital cause of AVMs in a variety of organs 1 that may be complicated by massive hematuria, 13 hemoperitoneum, 14 intracranial hemorrhage, 15 or hemothorax, 16 and the right to left shunt created by a large intrapulmonary AVMs can result in chronic hypoxia or embolic stroke. 17 Telangiectasias on physical examination, as well as recurrent epistaxis, may raise the index of suspicion for this syndrome.…”

Section: Review Of the Literaturementioning

confidence: 99%

Hypoxia and Polycythemia

et al. 2022

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Point of care ultrasound (POCUS) can be useful in the differentiation between cardiac and pulmonary etiologies of hypoxia. Here, we present a child with signs of chronic hypoxia, found on POCUS to have multiple pulmonary arteriovenous malformations. A combination of POCUS and history supported a presumptive pediatric emergency department diagnosis of hereditary hemorrhagic telangiectasia. This case is the first case of a pulmonary arteriovenous malformation found on POCUS and reinforces the importance of POCUS as a first-line examination in the evaluation of chronic hypoxia in the pediatric emergency department.

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