EURORAD ESR

Case 2842

Bilateral ovarian vein thrombosis

Author(s)
Oliveira C, Bexiga A, Penedo JP, Ferreira J, Cunha TM
 
Patient
female, 62 year(s)
 
 
  • Published 03.03.2004
  • DOI 10.1594/EURORAD/CASE.2842
  • Section Cardiovascular
  • Case Type Clinical Cases
  • Difficulty Resident
  • Views 22007
  • Language(s)
  • Figure 1
    Contrast-enhanced CT: Coronal reconstruction
     

    Shows thrombosed left (white arrow) and right (arrow-head) ovarian veins.

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT: Coronal reconstruction;

    Shows thrombosed left ovarian vein (white arrow).

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT: Coronal reconstruction;
     
     
  • Figure 2
    Contrast-enhanced CT
     

    Scan obtained at the renal hilum level shows thrombosed left ovarian vein (white arrow).

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT;

    Scan obtained below the renal hilum demonstrates thrombosed left ovarian vein (white arrow).

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT;

    Scan obtained at the level of the inferior pole of the left kidney demonstrates thrombosed left ovarian vein (white arrow).

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT;

    Scan obtained at the level of the bladder dome depicts both thrombosed ovarian veins (white arrows).

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT;

    Scan showing uterine corpus, bladder, right ovary (arrowhead) and thrombosed left ovarian vein (white arrow).

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT;

    In this scan, right internal iliac and left ovarian vein thrombosis is evident (white arrows). Left external iliac adenopathy is also shown (arrowhead).

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT;

    Scan through the uterine cervix, which is replaced by a large tumoral lesion (arrowhead). Thrombosed left ovarian vein (white arrow).

     
    Area of Interest: unknown; Imaging Technique: Contrast-enhanced CT;
     
     
  • Figure 3
    Doppler Ultrasound study

    Dilated, non-compressible left ovarian vein, which only presents blood flow on its most proximal segment (white arrow).

     
    Area of Interest: unknown; Imaging Technique: Doppler Ultrasound study;
     
     
  • Figure 4
    MR: T2-weighted
     

    In the sagittal plane, a large tumor replacing the whole uterine cervix (white arrow)is shown. There is infiltration of the uterine corpus without rectal or bladder invasion.

     
    Area of Interest: unknown; Imaging Technique: MR: T2-weighted;

    Parasagittal left plane through left ovarian vein, which is dilated and contains thrombus (arrowhead) with slow peripheric blood flow (white arrow).

     
    Area of Interest: unknown; Imaging Technique: MR: T2-weighted;

    Axial plane through uterine corpus shows intra-cavitary blood clot (arrowhead). Thrombosed left ovarian vein (horizontal white arrow) and right external iliac adenopathy (vertical white arrow).

     
    Area of Interest: unknown; Imaging Technique: MR: T2-weighted;

    Axial plane through uterine lower corpus/isthmus with tumor clearly visible. Thrombosed left ovarian vein (white arrow). Thrombosed right internal iliac vein (arrowhead).

     
    Area of Interest: unknown; Imaging Technique: MR: T2-weighted;

    Axial plane through uterine cervical tumor (arrowhead), which shows parametria invasion without rectal or bladder compromise. Thrombosed left ovarian vein (white arrow).

     
    Area of Interest: unknown; Imaging Technique: MR: T2-weighted;
     
     
Shows thrombosed left (white arrow) and right (arrow-head) ovarian veins.
 
Shows thrombosed left ovarian vein (white arrow).
 
Scan obtained at the renal hilum level shows thrombosed left ovarian vein (white arrow).
 
Scan obtained below the renal hilum demonstrates thrombosed left ovarian vein (white arrow).
 
Scan obtained at the level of the inferior pole of the left kidney demonstrates thrombosed left ovarian vein (white arrow).
 
Scan obtained at the level of the bladder dome depicts both thrombosed ovarian veins (white arrows).
 
Scan showing uterine corpus, bladder, right ovary (arrowhead) and thrombosed left ovarian vein (white arrow).
 
In this scan, right internal iliac and left ovarian vein thrombosis is evident (white arrows). Left external iliac adenopathy is also shown (arrowhead).
 
Scan through the uterine cervix, which is replaced by a large tumoral lesion (arrowhead). Thrombosed left ovarian vein (white arrow).
 
Dilated, non-compressible left ovarian vein, which only presents blood flow on its most proximal segment (white arrow).
 
In the sagittal plane, a large tumor replacing the whole uterine cervix (white arrow)is shown. There is infiltration of the uterine corpus without rectal or bladder invasion.
 
Parasagittal left plane through left ovarian vein, which is dilated and contains thrombus (arrowhead) with slow peripheric blood flow (white arrow).
 
Axial plane through uterine corpus shows intra-cavitary blood clot (arrowhead). Thrombosed left ovarian vein (horizontal white arrow) and right external iliac adenopathy (vertical white arrow).
 
Axial plane through uterine lower corpus/isthmus with tumor clearly visible. Thrombosed left ovarian vein (white arrow). Thrombosed right internal iliac vein (arrowhead).
 
Axial plane through uterine cervical tumor (arrowhead), which shows parametria invasion without rectal or bladder compromise. Thrombosed left ovarian vein (white arrow).
 
 
 
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