Published in:
01-04-2003 | Case Report
Postpartum ovarian vein thrombosis with simultaneous pyelocaliectasis: diagnosis and follow-up by MR imaging. Case report and literature review
Authors:
Michele Scialpi, Arcangelo Di Maggio, Giovanni Trisciuzzi, Maria Chiara Resta, Luciano Lupattelli, Antonio Rotondo
Published in:
Emergency Radiology
|
Issue 1/2003
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Abstract
We describe the critical role of MR imaging in a case of postpartum ovarian vein thrombosis (OVT) with concomitant pyelocaliceal ectasia. MR imaging confirmed the diagnosis suspected on the basis of ultrasonography and computed tomography by demonstration of a subacute clot with high signal intensity within the right ovarian vein and its complete resolution after anticoagulant therapy. MR imaging is a useful noninvasive, accurate tool for the diagnosis and follow-up of this potentially life-threatening condition, providing information helpful for choosing a prompt medical treatment rather than a surgical therapy. To our knowledge, no previous case of OVT causing pyelocaliceal ectasia documented by MR imaging has been reported. However, even though our case is suggestive, a cause–effect relationship between OVT and hydronephrosis could not be demonstrated with certainty.