Ovarian vein thrombosis
Updates to Case Attributes
While this case is certainly not mind-blowing, it is a very nice example of thrombosis of the right gonadal/ovarian vein: a dilated vein with a central low-attenuation filling defect. This likely accounted for the patient's presentation with dull abdominal pain. It would be entirelyhave been possible to miss this finding if the radiologists had not seen a few such cases in the past. A lot Much of being a successful radiologist is knowing the imaging appearance of the basic anatomy you learned in medical school: the right gonadal vein goes to the IVC, and the left gonadal vein to the renal vein.
Gonadal vein thrombosis is frequently managed with anticoagulation like deep vein thrombosis of the limbs, as the patient is at risk for pulmonary embolism if left untreated.
-<p>While this case is certainly not mind-blowing, it is a very nice example of thrombosis of the right gonadal/ovarian vein: dilated vein with central low-attenuation filling defect. This likely accounted for the patient's presentation with dull abdominal pain. It would be entirely possible to miss this finding if the radiologists had not seen a few cases in the past. A lot of being a successful radiologist is knowing the imaging appearance of the basic anatomy you learned in medical school: the right gonadal vein goes to the IVC, and the left gonadal vein the renal vein. </p><p>Gonadal vein thrombosis is frequently managed with anticoagulation like deep vein thrombosis, as the patient is at risk for pulmonary embolism if left untreated. </p>- +<p>While this case is certainly not mind-blowing, it is a very nice example of thrombosis of the right gonadal/ovarian vein: a dilated vein with a central low-attenuation filling defect. This likely accounted for the patient's presentation with dull abdominal pain. It would have been possible to miss this finding if the radiologists had not seen a few such cases in the past. Much of being a successful radiologist is knowing the imaging appearance of the basic anatomy you learned in medical school: the right gonadal vein goes to the IVC and the left gonadal vein to the renal vein. </p><p>Gonadal vein thrombosis is frequently managed with anticoagulation like <a title="Deep vein thrombosis" href="/articles/deep-vein-thrombosis">deep vein thrombosis</a> of the limbs, as the patient is at risk for <a title="Pulmonary embolism" href="/articles/pulmonary-embolism">pulmonary embolism</a> if left untreated.</p>
Updates to Study Attributes
The uterus is present withshows a few punctate calcifications, likely calcified fibroidsvascular. Intrauterine device in situ. There are a few pelvic varices. The right gonadal vein is slightly dilated and haswith a central low-attenuation filling defect which extends throughout most of it's course, closecranially almost to theits junction with the IVC. The left gonadal vein is patent.
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