Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic Telangiectasia

<div>(a) Ultrasound gray scale image shows multiple anechoic structures in the liver with surrounding echogenicity. There is flow on color Doppler (b), consistent with hepatic arteriovenous malformations.</div>

Case Reports in Hepatology

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Figure 1: Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic Telangiectasia 

Figure 1 | Lactulose to the Rescue: A Case of Toxic Hepatic Encephalopathy Caused by Portosystemic Shunting and Epistaxis in a Patient with Hereditary Hemorrhagic Telangiectasia 