Crohn’s disease is associated with an increased risk of thromboembolic events due to chronic systemic inflammation and endothelial dysfunction. Portal vein thrombosis is a rare manifestation that may remain clinically silent and progress to cavernomatous transformation. We report the case of a 32-year-old male patient with ileal Crohn’s disease in whom contrast-enhanced abdominal computed tomography (CT), performed for routine disease monitoring, revealed extensive chronic portal vein thrombosis with cavernomatous transformation. This case highlights the important role of cross-sectional imaging in diagnosing chronic splanchnic venous thrombosis in Crohn’s disease, even in the absence of an acute inflammatory flare, and emphasizes the thrombotic mechanisms underlying inflammatory bowel disease.
Obilat et al. (Mon,) studied this question.