PMC6106975_01
Contrast-enhanced CT scan showing pericholecystic fluid and partial filling defect in the superior mesenteric vein (white arrow).
CRIGM2018-9409081.001.jpg
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fig1
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).
Contrast-enhanced CT scan abdomen showing partial filling defect in the portal vein (white arrow).
CRIGM2018-9409081.002.jpg
PMC6106975_01_CRIGM2018-9409081.002.jpg
fig2
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).
Contrast-enhanced CT abdomen after 6 months of anticoagulation showing complete recanalization of previously seen portomesenteric thrombosis.
CRIGM2018-9409081.003.jpg
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fig3
Repeat CT abdomen with contrast showed complete recanalization of portal and superior mesenteric veins (Figure 3) and patient is waiting for cholecystectomy.