Postpartum ovarian vein thrombosis

Case contributed by Dr Sami Elhinnawi

Presentation

Right lower quadrant pain and fever two weeks postpartum.

Patient Data

Age: 30 years
Gender: Female
Ultrasound

A tubular hypoechoic structure starting from the right ovary, anterior to the right psoas muscle and draining into the IVC, all of which identifies this structure as the right ovarian vein.

It is distended with hypoechoic thrombus and the walls of the vein are thickened and slightly echogenic. On Doppler examination, no flow is seen.

The thrombus does not extend into the IVC.

Case Discussion

The ovarian vein should be checked for patency in postpartum patients complaining of right lower quadrant pain and fever. In the majority of ovarian vein thrombosis cases, the right ovarian vein is involved.

Ultrasound diagnosis may be difficult due to bowel gas, and care should be taken not to confuse a dilated ureter with a thrombosed ovarian vein.

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Case information

rID: 55676
Case created: 20th Sep 2017
Last edited: 25th Sep 2017
System: Vascular
Inclusion in quiz mode: Included
Institution: Misr International Hospital

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