PMC2629022_01
Anti-thrombin III deficiency in this patient's family
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fig1
He had a family history of anti-thrombin III deficiency and many family members were already taking life long anticoagulation (figure 1).
Abdominal CT showing tongue of thrombus extending into portal vein, bowel wall oedema and ascites.
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fig2
An emergency computed tomograph of his abdomen was carried out in the portal venous phase; this showed thrombosis in the superior mesenteric vein extending to the portal confluence (figure 2) but the portal vein was patent.