Emergency department diagnosis of mesenteric venous thrombosis initiated by US
33 years old male with history of epigastric pain related to meals was diagnosed as PUD . frequent visits to THE ED with same complain an increasing pain intensity . US in Ed shows portal vein thrombosis , so CT scamorgdered that showed SMA spleniv veins total thrombosis with signs of chronicity . anticoagulation started inpatient after OGD shows no varices . later hemostatic work up shows sever protein S defecicny . patient is dischargedwith good condition and on anticoagulation
