Fig. 11From: Value of contrast-enhanced multidetector computed tomography in imaging of symptomatic patients after laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomyA twenty-six-year-old male patient presented 1.5 years post-lap. sleeve gastrectomy by severe abdominal pain. a–d MSCT scans shows SMV thrombosis (white arrow). Note the normal SMA (yellow arrow) enhancement and ratio of SMV to SMA diameters > 2 and increased density of the surrounding fat (brown arrow). Portal and splenic veins thrombosis post-LSG. e MSCT scan axial cut with IV contrast showing non-enhanced portal vein (arrowed). f MSCT scan without intravenous contrast hyperattenuating splenic and portal vein. UGSI shows no abnormality. MSCT diagnosis: thrombosed portal, superior mesenteric and splenic veinBack to article page