PT - JOURNAL ARTICLE AU - Sareesh Bandapaati AU - Hemababu Bobba AU - Mitrakrishnan Rayno Navinan TI - Coeliac artery and splenic artery thrombosis complicated with splenic infarction 7 days following the first dose of Oxford vaccination, causal relationship or coincidence? AID - 10.1136/bcr-2021-243799 DP - 2021 Jul 01 TA - BMJ Case Reports PG - e243799 VI - 14 IP - 7 4099 - http://casereports.bmj.com/content/14/7/e243799.short 4100 - http://casereports.bmj.com/content/14/7/e243799.full SO - BMJ Case Reports2021 Jul 01; 14 AB - The novel coronavirus SARS-CoV-2 became a global pandemic in late 2019, and is still ongoing in 2021 causing significant morbidity and mortality. The advent of vaccinations heralded the turning of the tide. The Oxford jab, a vector-based vaccine was favoured due to its low cost and ease of storage. However, its potential association with thromboembolic adverse events resulted in controversy and disrupted its roll-out and use. The aetiopathogenesis of these thromboembolic events and its association with the Oxford vaccine are still speculative and uncertain, more so in the background of SARS-CoV-2 infection being highly thrombogenic in its own right. This paper presents a case of an otherwise healthy 50-year-old Caucasian man who developed acute abdominal pain 7 days following the first dose of Oxford vaccine and was found to have coeliac and splenic artery thrombosis complicated with splenic infarction.