PMC3015604_01
(A) Computed tomography (CT) scan on readmission following laparoscopic splenectomy. Arrow indicates dilated thrombosed portal venous system. (B) Follow-up CT scan 2 months after readmission, demonstrating cavernous transformation of the porta hepatis (arrow).
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A computed tomography (CT) scan of the abdomen and pelvis (Figure 1A) revealed thrombosis involving the portal vein, extending into the branch veins, thrombus of the splenic and superior mesenteric veins, fat stranding and mild edema of the mesentery, and a significant amount of pelvic free fluid. A follow-up computed tomographic scan 2 months postsplenectomy showed persistent thrombus in the mesenteric venous system with early collateralization and cavernous transformation of the porta hepatis (Figure 1B).