SMV thrombosis. A 57-year-old female with known history of hepatitis B-related cirrhosis and Behcet’s disease presented to ED with severe abdominal pain and melena. Post-contrast curved MPR CT image shows thrombosed SMV (arrows) with associating severe mesenteric edema. Also, note is made of thickening of small bowel and colon segments (arrowheads) suggestive for venous bowel ischemia. Emergent surgery confirmed imaging findings and the patient underwent extensive bowel resection. The patient expired 3 days after the surgery