Ovarian vein thrombosis

Case contributed by Dr Ian Bickle

Presentation

Known ovarian tumour, with follow up imaging post chemotherapy

Patient Data

Age: 50
Gender: Female
CT

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. 

Case Discussion

Ovarian vein thrombosis is uncommon. Its appearance on CT are similar to thrombosis in veins elsewhere in the body.

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Case information

rID: 21470
Case created: 25th Jan 2013
Last edited: 19th Mar 2016
System: Gynaecology
Inclusion in quiz mode: Included

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