Acute appendicitis complicated by ovarian vein thrombophlebitis

Case contributed by Dr Hani Salam

Presentation

Abdominal pain

Patient Data

Age: 40 years
Gender: Female

Dilated appendix with significant surrounding stranding. However, no drainable collection or extraluminal gas can be seen. 

The right ovarian vein is distended and has a thick enhancing wall, along with hypodensity in the lumen extending to the middle portion of the vein (the lumen is not enhancing vs the contralateral left ovarian vein). The changes of the right ovarian vein are better appreciated on the coronal images. 

No abdominal free fluid.

No retroperitoneal or pelvic enlarged lymph nodes. 

Interpretation: Features of acute appendicitis complicated by ovarian vein thrombosis. 

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Case information

rID: 16172
Published: 26th Dec 2011
Last edited: 12th Apr 2018
Inclusion in quiz mode: Included

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