Case 5: 65 year-old female with acute onset of severe diffuse abdominal pain.

Case 5: 65 year-old female with acute onset of severe diffuse abdominal pain. Title hidden

Key findings:

Nonocclusive thrombus in the main portal vein.
Thrombosis of superior mesenteric vein and several smaller distal branches.
Mesenteric congestion. Small ascites.
Dilated duodenum, proximal jejunum, which transitions into a segment of hypoenhancing, thick-walled small bowel in the lower abdomen.
Following this segment distally, there is gradual return of enhancement starting with the mucosa, and gradual resolution of submucosal edema.