case_images: PMC6106975_01
case_images: Contrast-enhanced CT scan showing pericholecystic fluid and partial filling defect in the superior mesenteric vein (white arrow).
case_images: CRIGM2018-9409081.001.jpg
case_images: PMC6106975_01_CRIGM2018-9409081.001.jpg
case_images: fig1
case_images: Apart from confirming the pericholecystic fluid and distended gall bladder, it also showed filling defects in several branches of the superior mesenteric vein and portal vein confluence with partial obliteration of the lumen, suggesting venous thrombosis, and part of the distal small bowel loops demonstrated apparent wall thickening with hyperenhancement and mesenteric congestion (Figures 1 and 2).
case_images: Contrast-enhanced CT scan abdomen showing partial filling defect in the portal vein (white arrow).
case_images: CRIGM2018-9409081.002.jpg
case_images: PMC6106975_01_CRIGM2018-9409081.002.jpg
case_images: fig2
case_images: Apart from confirming the pericholecystic fluid and distended gall bladder, it also showed filling defects in several branches of the superior mesenteric vein and portal vein confluence with partial obliteration of the lumen, suggesting venous thrombosis, and part of the distal small bowel loops demonstrated apparent wall thickening with hyperenhancement and mesenteric congestion (Figures 1 and 2).
case_images: Contrast-enhanced CT abdomen after 6 months of anticoagulation showing complete recanalization of previously seen portomesenteric thrombosis.
case_images: CRIGM2018-9409081.003.jpg
case_images: PMC6106975_01_CRIGM2018-9409081.003.jpg
case_images: fig3
case_images: Repeat CT abdomen with contrast showed complete recanalization of portal and superior mesenteric veins (Figure 3) and patient is waiting for cholecystectomy.