case_images: PMC11100964_01
case_images: Contrast-enhanced CT images performed on August 7 (A), August 14 (B), August 22 (C), and September 26 (D) showing change of isolated splenic vein thrombosis (red arrow).
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case_images: Contrast-enhanced computer tomography (CECT) scans showed unenhanced lesions in the splenic vein, suggesting a diagnosis of ISVT (Figure 1A). On August 14, 2023, CECT scans were performed again, still showing low-density lesions in the proximal splenic vein (Figure 1B). On August 22, 2023, abdominal pain disappeared, and CECT scans were repeated, showing a slight decrease in thrombus extension (Figure 1C). On September 26, 2023, D-dimer level was 0.19mg/L, and CECT scans showed that the splenic vein became fibrotic cord (Figure 1D).
case_images: Upper gastrointestinal endoscopic images. There were no varices in the esophagus (A) or gastric fundus (B).
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case_images: On August 11, 2023, she underwent upper gastrointestinal endoscopy showing superficial gastritis without gastroesophageal varices (Figure 2A and B).