EURORAD ESR

Case 14772

Case reports of imaging of postpartum ovarian vein thrombosis

Author(s)
A. Alketbi, E. Albaree, R. Quatullah, S. Ramesh, A. Barkatullah, W. Al-Safi, H. Al Zubaidi, V. Papineni, B. Rathinavelu, R. Mathebele, T. El Hamarneh, F. Asghar, M. Maarraoui, R. Mini

SEHA - Abu Dhabi Health Services.
Sheikh Khalifa Medical City (SKMC) and Mafraq Hospital,
Abu Dhabi, United Arab Emirates.
 
Patient
female, 23 year(s)
 
 
  • Figure 1
    Left gonadal vein thrombosis
     

    CE-CT abdominal, axial view, shows heterogenous enhanced soft tissue mass in the left iliac fossa adjacent to left adnexa. Other abdominal organs, uterus and right ovary are normal. No free fluid or air.

     
    Area of Interest: Vascular; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Embolism / Thrombosis;

    TA US shows an elongated inhomogeneous vascular mass in left iliac fossa adjacent to the left ovary = +/- 5 x 2 x 3.5cm.

     
    Area of Interest: Pelvis; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    TA colour Doppler US shows an elongated inhomogeneous vascular mass in left iliac fossa adjacent to the left ovary without obvious flow.

     
    Area of Interest: Pelvis; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 2
    Bilateral OVT
     

    CE-CT abdomen axial view shows bilateral OVT with cordlike structure extending from ovaries to renal vein. Inflammatory soft tissue thickening in left ovarian vein till aortic bifurcation. No free fluid. No...

     
    Area of Interest: Vascular; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Embolism / Thrombosis;

    CE-CT abdomen coronal views show bilateral OVT with cordlike structure extending from ovaries to renal vein. Inflammatory soft tissue thickening in left ovarian vein till aortic bifurcation. No free fluid. No...

     
    Area of Interest: Vascular; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Embolism / Thrombosis;

    CE-CT abdomen sagittal view show bilateral OVT with left side cordlike structure extending from ovaries to renal vein. Inflammatory soft tissue thickening in left ovarian vein till aortic bifurcation. No free fluid....

     
    Area of Interest: Vascular; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Embolism / Thrombosis;

    CE-MRI, coronal view shows no small bowel obstruction, no stricture, no wall thickening with normal enhancing and no inflammatory changes. No fluid or air collections. No bile duct dilatation. Right renal...

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Contrast agent-oral; Special Focus: Fistula;
     
     
  • Figure 3
    Left OVT
     

    CE-CT abdomen, axial view shows enlarged left ovary with thrombosis involving left ovarian vein extending to left renal vein. No air/fluid collections. Normal right ovary. Abdominal organs are normal. No...

     
    Area of Interest: Vascular; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Embolism / Thrombosis;

    CE-CT abdomen, axial view shows enlarged left ovary with thrombosis involving left ovarian vein extending to left renal vein. No air/fluid collections. Normal right ovary. Abdominal organs are normal. No...

     
    Area of Interest: Vascular; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 4
    Right OVT
     

    CE-CT abdomen axial view shows postpartum uterus. A thrombosis noted in right ovarian vein and in right IVC. Both renal veins appear normal. No fluid or air collections. Right renal hydronephrosis. No bowel obstruction.

     
    Area of Interest: Vascular; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Embolism / Thrombosis;

    CE-CT abdomen coronal view shows postpartum uterus. A thrombosis noted in right ovarian vein and in right IVC. Both renal veins appear normal. No fluid or air collections. Right renal hydronephrosis. No bowel...

     
    Area of Interest: Vascular; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Embolism / Thrombosis;

    CE-CT abdomen sagittal view shows postpartum uterus. A thrombosis noted in right ovarian vein and in right IVC. Both renal veins appear normal. No fluid or air collections. Right renal hydronephrosis. No bowel...

     
    Area of Interest: Vascular; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Embolism / Thrombosis;

    TA colour Doppler US shows right adnexal tubular structure, which is hypervascular, between the uterus and right ovary with minimal free fluid around it. Both ovaries appear unremarkable.

     
    Area of Interest: Pelvis; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    TA US shows right adnexal tubular structure, which is hypervascular, between the uterus and right ovary with minimal free fluid around it. Both ovaries appear unremarkable. Uterus appears bulky, postpartum changes....

     
    Area of Interest: Pelvis; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
CE-CT abdominal, axial view, shows heterogenous enhanced soft tissue mass in the left iliac fossa adjacent to left adnexa. Other abdominal organs, uterus and right ovary are normal. No free fluid or air.
 
TA US shows an elongated inhomogeneous vascular mass in left iliac fossa adjacent to the left ovary = +/- 5 x 2 x 3.5cm.
 
TA colour Doppler US shows an elongated inhomogeneous vascular mass in left iliac fossa adjacent to the left ovary without obvious flow.
 
CE-CT abdomen axial view shows bilateral OVT with cordlike structure extending from ovaries to renal vein. Inflammatory soft tissue thickening in left ovarian vein till aortic bifurcation. No free fluid. No lymphadenopathy.
 
CE-CT abdomen coronal views show bilateral OVT with cordlike structure extending from ovaries to renal vein. Inflammatory soft tissue thickening in left ovarian vein till aortic bifurcation. No free fluid. No lymphadenopathy.
 
CE-CT abdomen sagittal view show bilateral OVT with left side cordlike structure extending from ovaries to renal vein. Inflammatory soft tissue thickening in left ovarian vein till aortic bifurcation. No free fluid. No lymphadenopathy.
 
CE-MRI, coronal view shows no small bowel obstruction, no stricture, no wall thickening with normal enhancing and no inflammatory changes. No fluid or air collections. No bile duct dilatation. Right renal hydroureteronephrosis. No active fistulas.
 
CE-CT abdomen, axial view shows enlarged left ovary with thrombosis involving left ovarian vein extending to left renal vein. No air/fluid collections. Normal right ovary. Abdominal organs are normal. No hydroureteronephrosis. No bowel obstruction.
 
CE-CT abdomen, axial view shows enlarged left ovary with thrombosis involving left ovarian vein extending to left renal vein. No air/fluid collections. Normal right ovary. Abdominal organs are normal. No hydroureteronephrosis. No bowel obstruction.
 
CE-CT abdomen axial view shows postpartum uterus. A thrombosis noted in right ovarian vein and in right IVC. Both renal veins appear normal. No fluid or air collections. Right renal hydronephrosis. No bowel obstruction.
 
CE-CT abdomen coronal view shows postpartum uterus. A thrombosis noted in right ovarian vein and in right IVC. Both renal veins appear normal. No fluid or air collections. Right renal hydronephrosis. No bowel obstruction.
 
CE-CT abdomen sagittal view shows postpartum uterus. A thrombosis noted in right ovarian vein and in right IVC. Both renal veins appear normal. No fluid or air collections. Right renal hydronephrosis. No bowel obstruction.
 
TA colour Doppler US shows right adnexal tubular structure, which is hypervascular, between the uterus and right ovary with minimal free fluid around it. Both ovaries appear unremarkable.
 
TA US shows right adnexal tubular structure, which is hypervascular, between the uterus and right ovary with minimal free fluid around it. Both ovaries appear unremarkable. Uterus appears bulky, postpartum changes. Impression: right salpingitis.
 
 
 
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