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Fig. 3. —25-year-old man with superior mesenteric vein thrombus and sickle cell disease 14 days after splenectomy. Patient also had thrombocytosis and was heterozygous for factor V Leiden. Contrast-enhanced CT image shows clot occluding superior mesenteric vein (solid straight arrow), with mesenteric congestion (open arrow) and bowel wall thickening (curved arrow). Patient was treated with anticoagulation and recovered without bowel ischemia.