Publikation
[Non-cirrhotic portal hypertension with nearly lethal consequences]
Wissenschaftlicher Artikel/Review - 22.05.2013
Börner Nele, Korte Wolfgang, Doenecke Christian, Pfister Maurus, Meyenberger Christa, Semela David, Sawatzki Mikael
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We describe the case of a 48-year-old patient presenting with abdominal pain with a history of cerebral ischemia due to a patent foramen ovale with heterozygous factor V mutation. Initial work-up demonstrate a significant thrombosis of the portal venous system combined with signs of portal hypertension (ascites, oesophageal varices). Ultrasound reveals no signs of cirrhosis of the liver. Finally a JAK2 mutation can be detected. Prevention of oesophageal varices is refused. Finally a massive haemorrhage occured.