PMC6232614_01
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gr1.jpg
PMC6232614_01_gr1.jpg
fig0005
Preliminary CT Abdomen with oral and IV contrast showed acute pancreatitis with superior mesenteric and portal vein thrombosis and no evidence of mesenteric small bowel involvement (Fig. 1).
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PMC6232614_01_gr2.jpg
fig0010
A follow up CT abdomen with IV contrast revealed diffuse wall thickening involving multiple loops of jejunum highly suspicious of bowel ischemia (Fig. 2).
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PMC6232614_01_gr3.jpg
fig0015
An access sheath was inserted retrograde from the middle colic vein into the superior mesenteric vein and portal vein where a catheter was placed for the direct thrombolysis (Fig. 3).
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PMC6232614_01_gr4.jpg
fig0020
An Intraoperative venography showed patent portal veins (Fig. 4).