,HISTORY OF PRESENT ILLNESS: , The patient is a 43-year-old gentleman who presented from an outside hospital with complaints of right upper quadrant pain in the abdomen, which revealed possible portal vein and superior mesenteric vein thrombus leading to mesenteric ischemia. 
,HISTORY OF PRESENT ILLNESS : , The patient is a 43 - year - old gentleman who presented from an outside hospital with complaints of right upper quadrant pain in the abdomen , which revealed possible portal vein and superior mesenteric vein thrombus leading to mesenteric ischemia .