To study hereditary haemorrhagic telengiectasia

Introduction: Osler Weber Rendu disease also known as Hereditary Haemorrhagic Telengiectasia(HHT) is a rare autosomal dominant disorder by the presence of multiple arterivenous malformations (AVMs) that lack intervening capillaries resulting in direct connections between arteries and veins. 
Case Report: A 60 year old male patient known case of hypertension , Indian origin was brought to the emergency department of our hospital with complaints of severe epistaxis. An attempt was made initially to control bleeding  by ice compressions and finally  anterior and posterior nasal packing was done.He gave history of similar episodes in the past often accompanied with hemetemesis and malena on and off since childhood Gastroduodenoscopy was done to rule out  cause for hemetemesis which showed multiple telengiectasia in fundus, body and antrum of stomach and first part of duodenum estabilishing the diagnosis of HHT. 
Conclusion: Patient with osler-weber –Rendu disease may present with uncontrolled bleeding .Resuscitation along with hemostasis is the main stay of treatment. As the bleeding occurs from malformed vessels coagulation tests are normal. Management include blood transfusion,antifibrolytics and surgical hemostasis.