Added value of diffusion weighted MRI in the diagnosis of postpartum ovarian vein thrombosis

Cuyper, K De; Eyselbergs, Michiel; Bernard, P.; Clabout, L.; Vanhoenacker, Filip

doi:10.5334/jbr-btr.86

Cited by 7 publications

(9 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Contrast enhanced CT of abdomen and pelvis is considered the diagnostic modality of choice when OVT is suspected [ 9 ]. Other imaging studies available to examine the ovarian veins include magnetic resonance angiography (MRA) and color Doppler ultrasound.…”

Section: Discussionmentioning

confidence: 99%

“…MRA offers several advantages over CT in diagnosis of OVT. It avoids ionizing radiation, has sensitivity and specificity approaching 100% compared to CT with sensitivity of 77.8% and specificity of 62.5%, and avoids intravenous contrast administration due to the use of diffusion weighted imaging [ 7 , 9 , 10 ]. Despite these benefits, many physicians use CT as the first imaging tool due to its easy availability.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ovarian Vein Thrombosis as a Complication of Laparoscopic Surgery

Gupta

Josef

et al. 2015

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

Ovarian vein thrombosis (OVT) is an extremely rare but life-threatening complication of the postpartum period. It has never been reported as a complication of laparoscopic surgery. We report a case of right ovarian vein thrombosis that occurred in the postoperative period after patient underwent laparoscopic salpingectomy for a right side ectopic pregnancy. She presented with 1-week history of abdominal pain and fever. A complete workup for fever was performed and was found negative. Computed tomography of the abdomen and pelvis revealed right ovarian vein thrombosis. The patient was treated with anticoagulant therapy and responded well.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ovarian Vein Thrombosis as a Complication of Laparoscopic Surgery

Gupta

Josef

et al. 2015

Case Reports in Obstetrics and Gynecology

View full text Add to dashboard Cite

show abstract

“…MRI involves multiple planes and, because of increased sensitivity of paramagnetic iron, it can differentiate between flowing blood, acute thrombus (less than 1 week old) and subacute thrombus (1 week to 1 month old) . Although MRI does not require contrast and does not have ionising radiation risks, it is not as readily available as CT in most units …”

Section: Investigationsmentioning

confidence: 99%

“…4,9,36 Although MRI does not require contrast and does not have ionising radiation risks, it is not as readily available as CT in most units. 38…”

Section: Computed Tomography (Ct)mentioning

confidence: 99%

Postpartum ovarian vein thrombosis

Dougan

Phillips

Harley

et al. 2016

The Obstetric & Gynaecologis

View full text Add to dashboard Cite

Key content Postpartum ovarian vein thrombosis (POVT) is a rare but potentially fatal condition. Symptoms up to 4 weeks postpartum often include vague abdominal pain and pyrexia. A high index of suspicion is required to make the diagnosis. As there is no consensus regarding management, a multidisciplinary approach is advised. Learning objectives Recognise the symptoms and signs of POVT and formulate a differential diagnosis. Recognise the importance of imaging in confirming the diagnosis and involvement of the multidisciplinary team to plan management. Understand that conservative management with low‐molecular‐weight heparin is the first‐line treatment, and understand the situations that may require vena caval filter insertion or surgical intervention. Ethical issues How can we counsel women about risks of conservative and surgical management of this condition when there is no consensus for this management? Should women who have had an ovarian vein thrombosis in a previous pregnancy be counselled toward avoiding future pregnancy?

show abstract

“…Contrast-enhanced CT of abdomen and pelvis is considered the diagnostic modality of choice for OVT [ 5 ] . Other imaging modalities include magnetic resonance angiography (MRA) and colour Doppler ultrasound.…”

Section: Discussionmentioning

confidence: 99%

Ovarian Vein Thrombosis in a Non-Puerperal Patient

Arora

Mujumdar

Martin

et al. 2022

European Journal of Case Reports in Internal Medicine

View full text Add to dashboard Cite

Ovarian vein thrombosis (OVT) is a relatively rare, but serious disease more commonly seen in puerperal patients. In the postpartum period, there is an unequal incidence of OVT in women with vaginal delivery (0.18%) and caesarean section (2.0%).OVT is usually associated with other conditions like pelvic inflammatory disease, malignant tumours, sepsis, enteritis, and recent pelvic or abdominal surgery. The incidence of idiopathic OVT is extremely rare and only a few cases have been reported to date in healthy patients with unknown aetiology. Patients with OVT present with abdominal pain, nausea, vomiting, fever or abdominal mass. Complications of OVT include pulmonary embolism, ovarian infarction, sepsis and death. CT scanning of the abdomen provides reliable evidence for the diagnosis of idiopathic OVT. Thrombus in most patients with idiopathic OVT is located in the right ovarian vein. This may be due to the longer length of the right ovarian vein, right shift of the uterus and relative insufficiency of the right ovarian vein valve. Treatment of OVT includes systemic anticoagulation which will achieve resolution of symptoms and prevent life-threatening complications. Our case report documents a non-puerperal patient who underwent hysterectomy a year before presenting to the ED with complaints of diarrhoea and found to have OVT on a CT scan. Our case brings attention to the fact that OVT can occur outside the puerperium and might present as a rare complication of minimally invasive surgeries for endometrial cancer. Furthermore, we posit that OVT in the non-puerperal patient may be a separate clinical entity.

show abstract

Added value of diffusion weighted MRI in the diagnosis of postpartum ovarian vein thrombosis

Cited by 7 publications

References 4 publications

Ovarian Vein Thrombosis as a Complication of Laparoscopic Surgery

Ovarian Vein Thrombosis as a Complication of Laparoscopic Surgery

Postpartum ovarian vein thrombosis

Ovarian Vein Thrombosis in a Non-Puerperal Patient

Contact Info

Product

Resources

About