Publication
[Non-cirrhotic portal hypertension with nearly lethal consequences]
Journal Paper/Review - May 22, 2013
Börner Nele, Korte Wolfgang, Doenecke Christian, Pfister Maurus, Meyenberger Christa, Semela David, Sawatzki Mikael
Units
PubMed
Doi
Citation
Type
Journal
Publication Date
Issn Print
Pages
Brief description/objective
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.