Börner Nele, Korte Wolfgang, Doenecke Christian, Pfister Maurus, Meyenberger Christa, Semela David, Sawatzki Mikael
Departement Innere Medizin, Kantonsspital St. Gallen, Spital Rorschach.
Praxis (Bern 1994). 2013 May 22;102(11):681-5. doi: 10.1024/1661-8157/a001303.
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.
