Unexpected haemoptysis in a young liver-transplanted patient

We report the case of a 22 years-old male hepatotransplant patient with unexpected acute massive hemoptysis. The patient received liver transplant at the age of 1 year for decompensated cirrhosis due to biliary atresia. When hemoptysis occurred, immunosuppressive therapy with tacrolimus and mycophenolate mofetil was in course. Computed Tomography (CT) identified a pulmonary arteriovenous malformation (PAVM) and endovascular embolization was performed resulting in resolution of symptoms. Since multiple malformations may be associated with biliary atresia, a diagnostic work up, including cerebral neuroimaging, was performed but no malformation was found.

from Gastroenterology via xlomafota13 on Inoreader http://ift.tt/2cAyCTt
via IFTTT