Fig. 1.

35-year-old women with history of Crohn's disease, status post total abdominal colectomy, and portal vein and mesenteric vein thrombosis.

A, B. Coronal reformatted contrast-enhanced computed tomography (CT) scan 2 weeks after surgery shows large filling defect (arrow) in main portal vein with extension into both right and left portal veins and small isolated varices (arrow) in gastric fundus. C, D. Coronal reformatted contrast-enhanced CT scan at 2 week follow up shows interval decrease in size of portal vein thrombosis, new inferior mesenteric vein thrombosis (small arrow), and interval increase in size of gastric varices (arrow). E. Balloon occluded retrograde venogram shows filling of small gastric varices (arrow). Sclerosant was administered with filling of varices and occlusion balloon inflated. F. Spot image after embolization shows gastric varices with lipiodol uptake (arrow). G. Coronal reformatted contrast-enhanced CT scan 3 months after balloon occlusion retrograde transvenous obliteration procedure shows complete obliteration of gastric fundus with small residual lipiodol uptake (arrow).