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Fig. 11 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 11

From: Value of contrast-enhanced multidetector computed tomography in imaging of symptomatic patients after laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy

Fig. 11

A 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 vein

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