Facial Telangiectasia Bleeding After Laparoscopic Radical Nephrectomy in Trendelenburg Position

Spider angioma is a group of dilated small vessels occurring in patients with alcoholism and impaired liver function. The symptom often localizes on the face and body due to liver disease. Several theories explain its pathogenesis. A possible explanation is that the metabolism of estrogens deteriorates because of impaired liver function (1). Another hypothesis is that vascular endothelial growth factor and basic fibroblast growth factor play a role in spider angioma (2). Telangiectasia indicates dilated small vessels occurring on the upper part of body and face due to inflammatory disease, radiotherapy, long-term exposure to the sun, and chronic alcoholism (3).