75-year-old female:
– Day 4 post Whipple procedure
– Ongoing abdominal pain with increased inflammatory markers and slightly increased lactate levels
What do you see?
– Post-operative changes following partial pancreatectomy and duodenojejunostomy (partially shown)
– Prominent mesenteric nodes
– Partially occlusive thrombus of the superior mesenteric vein (best seen on axial slice) extending to a large jejunal branch (seen on coronal slice)
What is the most likely diagnosis?
Partial SMV occlusion as a complication to recent Whipple procedure
I think that it is a pancreatic carcinoma, due to its location and it is one of the most frequent causes of thrombosis.