Flow through axisymmetric and eccentric sinuous stenoses is investigated numerically, for Reynolds numbers up to 400. The eccentricity consists of an offset of the stenosis throat. A range of stenosis eccentricity is tested; the wake flow is found to be highly sensitive to small eccentricities in the stenosis geometry, even with stenosis offsets of the order of the machining precision of experimental test-sections. Comparisons are made between the numerically simulated flow through stenoses with small eccentricities and results from the literature of non-axisymmetric flows through nominally axisymmetric geometries. The effect of distortion to the inlet Poiseuille velocity profile is also investigated and found to have a significantly less severe effect on the downstream wake flow than geometric eccentricity.