Atlas of gastroenterological Endoscopy
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Stenosis by portal vein dilatation
Stenosis by portal vein dilatation 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.
CT in portal vein dilatation CT in portal vein dilatation
CT in portal vein dilatation 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.