Conclusion
To the best of our knowledge, this is the first case of hereditary
hemorrhagic telangiectasia (HHT) to be reported from Ethiopia. High
degree of suspicion and early diagnosis of HHT is essential to start
preventive screening and surveillance and intervene timely because of
its fatal complications. Recurrent massive epistaxis and
gastrointestinal hemorrhage leads to severe anemia and heart failure. In
resource limited settings, selective cauterization of telangiectasia
will help to control bleeding, although it does not avoid recurrent
bleeding.