Postpartum left ovarian and renal vein thrombosis

Case contributed by Mohamed Saber
Diagnosis certain

Presentation

Postpartum left loin pain for two weeks.

Patient Data

Age: 35 years
Gender: Female

Ultrasound study shows an enlarged left kidney, and abnormal hyperechogenicity with minimal internal vascularity in the color duplex study.

CT study shows the following:

Left renal vein thrombosis reaching its junction with the IVC.

Left ovarian vein thrombosis.

Swollen hypo-enhanced left kidney with edematous peri renal fat.

The left ovary appears markedly hypodense and hypo-enhancing with edematous surrounding fat.

Enlarged sub-involuted uterus.

Minimal intraperitoneal free fluid.

Bilateral mild pleural effusion (more left).

Case Discussion

This case represents a rare postpartum complication with left ovarian and renal vein thrombosis.

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