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| Stenosis by portal vein dilatation |
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This patient was admitted for nausea and recurrent vomiting. Duodenal ulcer was suspected
since the patient had suffered from a NSAID induced duodenal ulcer hemorrhage before.
Gastroscopy showed a severe duodenal stenosis. There were considerably amounts of food in
the stomach and bulb although the patient was treated “nil by mouth”. A duodenal ulcer could not be diagnosed.
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CT scan showed extremely dilated portal and splenic veins, no signs of a cavernous portal vein thrombosis.
There were no clinical hints towards
portal vein thrombosis in the patient´s history. We managed to get hold of a CT scan done
8 years before for other reasons, which showed a comparable picture. The patient refused
further diagnostic work up.
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Inflammatory stenosis
Portal vein dilatation