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03 September 2025 : Case report  Mexico

Portomesenteric Vein Thrombosis Following Sleeve Gastrectomy: A Case Report and Literature Review

Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Rare disease, Adverse events of drug therapy, Educational Purpose (only if useful for a systematic review or synthesis)

Jóse Sergio Verboonen Sotelo ABEF 1*, Jaime Ponce de León Palomares AB 1, Jeffry Romero Manzano E 1, Hector Joaquin Pérez Corzo F 1, Jesus Antonio Villalobos López ABDEF 1, Gustavo Adolfo Linden Pérez-Gavilán F 1, Guillermo Vega Tostado E 1, Gabriela Verboonen Partida E 1

DOI: 10.12659/AJCR.947151

Am J Case Rep 2025; 26:e947151

Figure 3 Axial contrast-enhanced CT scan showing superior mesenteric vein thrombosis with extension into the splenic vein. Axial contrast-enhanced CT scan of the abdomen reveals a hypodense intravascular filling defect within the superior mesenteric vein (SMV), extending into the splenic vein. The thrombus appears as a non-enhancing region within the contrast-filled vessel lumen, indicating obstruction of venous flow. The involvement of multiple major mesenteric vessels suggests an extensive thrombotic event, which significantly increases the risk of intestinal ischemia.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923