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Figures
Fig. 1
Sagittal computed tomographic image. Arrow indicating the superior mesenteric artery thrombosis using a sagittal view.
Fig. 2
Coronal computed tomographic image. Arrow indicating the superior mesenteric artery thrombosis using a coronal view.
Fig. 3
Curved reformatted computed tomographic image. Arrow indicating the superior mesenteric artery thrombosis using a curved reformatted image depicting the length of the thrombosis within the vessel.
We report a case of superior mesenteric artery thrombosis after the abrupt discontinuation of rivaroxaban in a 59-year-old male patient. The initial presentation was of sudden onset abdominal pain, nausea, vomiting, diarrhea, and hematochezia in the setting of recently holding rivaroxaban anticoagulation for an atrial flutter ablative procedure. Imaging revealed thrombosis of the superior mesenteric artery and acute mesenteric ischemia requiring emergent surgical intervention for embolectomy. Upon exploratory laparotomy, the bowel was found to be viable, and an embolectomy with patch angioplasty was successful without complication.
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