case_images: PMC5892258_01
case_images: Fused axial image of 18-FDG-PET/CT scan shows 18-FDG uptake of thrombus in the superior mesenteric vein. This finding was considered as hypermetabolic tumor thrombus.
case_images: CRIS2018-3648436.001.jpg
case_images: PMC5892258_01_CRIS2018-3648436.001.jpg
case_images: fig1
case_images: The PET-CT revealed a hypermetabolic mass in the gastric anastomosis site along with hypermetabolic activity in the superior mesenteric vein (SMV) suspected with tumor thrombus (Figure 1).
case_images: Axial (a), coronal (b), and sagittal (c) slices of abdominal CT show contrast media defect due to tumor thrombus (arrows) in the superior mesenteric vein.
case_images: CRIS2018-3648436.002.jpg
case_images: PMC5892258_01_CRIS2018-3648436.002.jpg
case_images: fig2
case_images: A contrast-enhanced thrombus misgiving for tumor was detected within a 4 cm segment of the SMV proximal to the splenic confluence that completely obstructed the lumen on triphasic computed tomography (Figure 2).
case_images: The SMV dissection near the splenic confluence.
case_images: CRIS2018-3648436.003.jpg
case_images: PMC5892258_01_CRIS2018-3648436.003.jpg
case_images: fig3
case_images: Firstly, to ensure that thrombus was tumor, the SMV was dissected and opened vertically near the splenic confluence under vascular control (Figure 3).
case_images: Extirpated tumor thrombus within the SMV.
case_images: CRIS2018-3648436.004.jpg
case_images: PMC5892258_01_CRIS2018-3648436.004.jpg
case_images: fig4
case_images: Fogarty catheter (Figure 4). Following recanalization of the SMV, reflow was allowed and the vein was closed with primary repair.
case_images: H&E (x100) shows tumor cells (arrow) in bloody background.
case_images: CRIS2018-3648436.005.jpg
case_images: PMC5892258_01_CRIS2018-3648436.005.jpg
case_images: fig5
case_images: Lesions removed from the SMV have been reported to be tumor thrombi (T4N2M1) (Figure 5).