Mesenteric vein thrombosis; not going with the flow
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Updated: Apr 24, 2026

New Thrombectomy Technique for Total Portal Vein Thrombosis in Liver Transplantation
Published on: June 27, 2025
Lennard Y W Lee1, Harriet Aubrey-Jones1, Rachel Lacey2
1Royal Berkshire Hospital, Reading, UK.
Abstract:
A 71-year-old woman presented with a 2-week history of epigastric pain, nausea and vomiting; on examination she demonstrated signs of peritonism. CT imaging was performed and this demonstrated extensive thrombosis of the superior mesenteric, omental and portal veins with infarction of the distal small bowel. A non-operative approach was initiated and anticoagulation rapidly started. Within 48 h the patient demonstrated significant clinical improvement and she subsequently made a full recovery.
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