PMC4917498_01
(A) CT abdomen and pelvis with oral and intravenous contrast. Abnormal fat stranding of the mesentery (long arrow) and thickening of the terminal ileum (short arrow). (B) Suspected thrombus at the confluence of the superior mesenteric and portal veins (arrow).
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There was associated thickening of the distal ileum and cecum along the inferior boundary of the process, likely due to cecal diverticulitis (Fig. 1A). In addition, there was a questionable thrombus at the confluence of the superior mesenteric vein and portal vein (Fig. 1B).
T1- weighted coronal magnetic resonance imaging of the abdomen showing thrombus within the distal superior mesenteric vein just below the confluence of the portal vein (arrow).
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MRI confirmed the presence of a thrombus in the distal superior mesenteric vein just below the confluence of the portal vein (Fig. 2).