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Fig. 1. 51-year-old man with superior mesenteric vein thrombosis 32 days after total abdominal colectomy with J pouch creation and ileal-anal anastomosis performed for ulcerative colitis. Contrast-enhanced axial CT image shows central clot in superior mesenteric vein (arrow). No mesenteric congestion is noted. Patient's only symptoms were referable to small peripouch infection. No therapy was undertaken for clot, and patient recovered without ischemia.