Ovarian vein thrombosis
Known ovarian tumour, with follow up imaging post chemotherapy
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Residual tumour in the left side of the pelvis from the primary ovarian malignancy, with a large right para-aortic lymph node metastasis at the level of the renal vessels. The distal part of the long left renal vein does not contain contrast, at the junction with the left ovarian vein. The left ovarian vein can be followed in its entirity, with enhancing walls, but largely occupied with thrombus. In this case the presumed cause is obstructed flow from the lymph node mass.
2 case question available
Ovarian vein thrombosis is uncommon. Its appearance on CT are similar to thrombosis in veins elsewhere in the body.
- 1. Karaosmanoglu D, Karcaaltincaba M, Karcaaltincaba D et-al. MDCT of the ovarian vein: normal anatomy and pathology. AJR Am J Roentgenol. 2009;192 (1): 295-9. AJR Am J Roentgenol (full text) - doi:10.2214/AJR.08.1015 - Pubmed citation
- 2. New England Journal of Medicine. 2011;364 (16): . doi:10.1056/NEJMicm1008247