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Ovarian Vein Thrombosis
Marc S. Tubay, MD; Akram M. Shaaban, MBBCh
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Ovarian vein thrombosis (OVT)
          • Synonyms

            • Ovarian vein thrombophlebitis
          • Definitions

            • Thrombosis of ovarian vein, typically associated with puerperal infection

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Yao F et al: Effect of ovarian vein thrombosis on uterine wall: a new finding on computed tomography. Eur J Obstet Gynecol Reprod Biol. 256:517-8, 2021
                                      2. Gonzalo-Carballes M et al: A pictorial review of postpartum complications. Radiographics. 40(7):2117-41, 2020
                                      3. Veyseh M et al: Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy. BMJ Case Rep. 13(9), 2020
                                      4. Adesiyun AG et al: Postpartum ovarian vein thrombosis: incidental diagnosis at surgery. Case Rep Obstet Gynecol. 2014:898342, 2014
                                      5. Gakhal MS et al: Ovarian vein thrombosis: analysis of patient age, etiology, and side of involvement. Del Med J. 85(2):45-50; quiz 59, 2013
                                      6. De Stefano V et al: Abdominal thromboses of splanchnic, renal and ovarian veins. Best Pract Res Clin Haematol. 25(3):253-64, 2012
                                      7. Sharma P et al: Ovarian vein thrombosis. Clin Radiol. 67(9):893-8, 2012
                                      8. Verde F et al: One not to miss: ovarian vein thrombosis causing pulmonary embolism with literature review. J Radiol Case Rep. 6(9):23-8, 2012
                                      9. Virmani V et al: Ultrasound, computed tomography, and magnetic resonance imaging of ovarian vein thrombosis in obstetrical and nonobstetrical patients. Can Assoc Radiol J. 63(2):109-18, 2012
                                      10. Khosa F et al: Imaging presentation of venous thrombosis in patients with cancer. AJR Am J Roentgenol. 194(4):1099-108, 2010
                                      11. Stafford M et al: Idiopathic ovarian vein thrombosis: a rare cause of pelvic pain - case report and review of literature. Aust N Z J Obstet Gynaecol. 50(3):299-301, 2010
                                      12. Cura M et al: What is the significance of ovarian vein reflux detected by computed tomography in patients with pelvic pain? Clin Imaging. 33(4):306-10, 2009
                                      13. Karaosmanoglu D et al: MDCT of the ovarian vein: normal anatomy and pathology. AJR Am J Roentgenol. 192(1):295-9, 2009
                                      14. Kominiarek MA et al: Postpartum ovarian vein thrombosis: an update. Obstet Gynecol Surv. 61(5):337-42, 2006
                                      15. Pui M: Imaging of vascular disorders of the female pelvis. Australas Radiol. 50(5):405-11, 2006
                                      16. Wysokinska EM et al: Ovarian vein thrombosis: incidence of recurrent venous thromboembolism and survival. Thromb Haemost. 96(2):126-31, 2006
                                      17. Takach TJ et al: Ovarian vein and caval thrombosis. Tex Heart Inst J. 32(4):579-82, 2005
                                      18. Leyendecker JR et al: MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period. Radiographics. 24(5):1301-16, 2004
                                      19. Morales-Rosello J et al: Postpartum ovarian vein thrombosis with positive lupus anticoagulant. Int J Gynaecol Obstet. 87(2):163-4, 2004
                                      20. Prieto-Nieto MI et al: Acute appendicitis-like symptoms as initial presentation of ovarian vein thrombosis. Ann Vasc Surg. 18(4):481-3, 2004
                                      21. Benfayed WH et al: Detection of pulmonary emboli resulting from ovarian vein thrombosis. AJR Am J Roentgenol. 181(5):1430-1, 2003
                                      22. Bennett GL et al: Gynecologic causes of acute pelvic pain: spectrum of CT findings. Radiographics. 22(4):785-801, 2002
                                      23. Kubik-Huch RA et al: Role of duplex color Doppler ultrasound, computed tomography, and MR angiography in the diagnosis of septic puerperal ovarian vein thrombosis. Abdom Imaging. 24(1):85-91, 1999
                                      24. Salomon O et al: Risk factors associated with postpartum ovarian vein thrombosis. Thromb Haemost. 82(3):1015-9, 1999
                                      25. Twickler DM et al: Imaging of puerperal septic thrombophlebitis: prospective comparison of MR imaging, CT, and sonography. AJR Am J Roentgenol. 169(4):1039-43, 1997
                                      26. Zuckerman J et al: Imaging of pelvic postpartum complications. AJR Am J Roentgenol. 168(3):663-8, 1997
                                      27. Rooholamini SA et al: Imaging of pregnancy-related complications. Radiographics. 13(4):753-70, 1993
                                      28. Toland KC et al: Postpartum ovarian vein thrombosis presenting as ureteral obstruction: a case report and review of the literature. J Urol. 149(6):1538-40, 1993
                                      29. Jacoby WT et al: Ovarian vein thrombosis in oncology patients: CT detection and clinical significance. AJR Am J Roentgenol. 155(2):291-4, 1990
                                      30. Leclerc JR et al: Venous thromboembolic disorders. Burrow GN et al: Medical Complications During Pregnancy. Saunders. 204-23, 1988
                                      31. Baran GW et al: Duplex Doppler evaluation of puerperal ovarian vein thrombosis. AJR Am J Roentgenol. 149(2):321-2, 1987
                                      32. Angel JL et al: Computed tomography in diagnosis of puerperal ovarian vein thrombosis. Obstet Gynecol. 63(1):61-4, 1984
                                      33. Munsick RA et al: A review of the syndrome of puerperal ovarian vein thrombophlebitis. Obstet Gynecol Surv. 36(2):57-66, 1981
                                      34. Brown TK et al: Puerperal ovarian vein thrombophlebitis: a syndrome. Am J Obstet Gynecol. 109(2):263-73, 1971
                                      35. Ikard RW et al: Lower limb venous dynamics in pregnant women. Surg Gynecol Obstet. 132(3):483-8, 1971
                                      36. Goodrich SM, Wood JE: Peripheral venous distensibility and velocity of venous blood flow during pregnancy or during oral contraceptive therapy. Am J Obstet Gynecol 90:740, 1964
                                      37. Kerr MG et al: Studies of the inferior vena cava in late pregnancy. Br Med J 1:532, 1964
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Ovarian vein thrombosis (OVT)
                                              • Synonyms

                                                • Ovarian vein thrombophlebitis
                                              • Definitions

                                                • Thrombosis of ovarian vein, typically associated with puerperal infection

                                              IMAGING

                                              • General Features

                                                • CT Findings

                                                  • MR Findings

                                                    • Ultrasonographic Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Gross Pathologic & Surgical Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Yao F et al: Effect of ovarian vein thrombosis on uterine wall: a new finding on computed tomography. Eur J Obstet Gynecol Reprod Biol. 256:517-8, 2021
                                                                          2. Gonzalo-Carballes M et al: A pictorial review of postpartum complications. Radiographics. 40(7):2117-41, 2020
                                                                          3. Veyseh M et al: Left gonadal vein thrombosis in a patient with COVID-19-associated coagulopathy. BMJ Case Rep. 13(9), 2020
                                                                          4. Adesiyun AG et al: Postpartum ovarian vein thrombosis: incidental diagnosis at surgery. Case Rep Obstet Gynecol. 2014:898342, 2014
                                                                          5. Gakhal MS et al: Ovarian vein thrombosis: analysis of patient age, etiology, and side of involvement. Del Med J. 85(2):45-50; quiz 59, 2013
                                                                          6. De Stefano V et al: Abdominal thromboses of splanchnic, renal and ovarian veins. Best Pract Res Clin Haematol. 25(3):253-64, 2012
                                                                          7. Sharma P et al: Ovarian vein thrombosis. Clin Radiol. 67(9):893-8, 2012
                                                                          8. Verde F et al: One not to miss: ovarian vein thrombosis causing pulmonary embolism with literature review. J Radiol Case Rep. 6(9):23-8, 2012
                                                                          9. Virmani V et al: Ultrasound, computed tomography, and magnetic resonance imaging of ovarian vein thrombosis in obstetrical and nonobstetrical patients. Can Assoc Radiol J. 63(2):109-18, 2012
                                                                          10. Khosa F et al: Imaging presentation of venous thrombosis in patients with cancer. AJR Am J Roentgenol. 194(4):1099-108, 2010
                                                                          11. Stafford M et al: Idiopathic ovarian vein thrombosis: a rare cause of pelvic pain - case report and review of literature. Aust N Z J Obstet Gynaecol. 50(3):299-301, 2010
                                                                          12. Cura M et al: What is the significance of ovarian vein reflux detected by computed tomography in patients with pelvic pain? Clin Imaging. 33(4):306-10, 2009
                                                                          13. Karaosmanoglu D et al: MDCT of the ovarian vein: normal anatomy and pathology. AJR Am J Roentgenol. 192(1):295-9, 2009
                                                                          14. Kominiarek MA et al: Postpartum ovarian vein thrombosis: an update. Obstet Gynecol Surv. 61(5):337-42, 2006
                                                                          15. Pui M: Imaging of vascular disorders of the female pelvis. Australas Radiol. 50(5):405-11, 2006
                                                                          16. Wysokinska EM et al: Ovarian vein thrombosis: incidence of recurrent venous thromboembolism and survival. Thromb Haemost. 96(2):126-31, 2006
                                                                          17. Takach TJ et al: Ovarian vein and caval thrombosis. Tex Heart Inst J. 32(4):579-82, 2005
                                                                          18. Leyendecker JR et al: MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period. Radiographics. 24(5):1301-16, 2004
                                                                          19. Morales-Rosello J et al: Postpartum ovarian vein thrombosis with positive lupus anticoagulant. Int J Gynaecol Obstet. 87(2):163-4, 2004
                                                                          20. Prieto-Nieto MI et al: Acute appendicitis-like symptoms as initial presentation of ovarian vein thrombosis. Ann Vasc Surg. 18(4):481-3, 2004
                                                                          21. Benfayed WH et al: Detection of pulmonary emboli resulting from ovarian vein thrombosis. AJR Am J Roentgenol. 181(5):1430-1, 2003
                                                                          22. Bennett GL et al: Gynecologic causes of acute pelvic pain: spectrum of CT findings. Radiographics. 22(4):785-801, 2002
                                                                          23. Kubik-Huch RA et al: Role of duplex color Doppler ultrasound, computed tomography, and MR angiography in the diagnosis of septic puerperal ovarian vein thrombosis. Abdom Imaging. 24(1):85-91, 1999
                                                                          24. Salomon O et al: Risk factors associated with postpartum ovarian vein thrombosis. Thromb Haemost. 82(3):1015-9, 1999
                                                                          25. Twickler DM et al: Imaging of puerperal septic thrombophlebitis: prospective comparison of MR imaging, CT, and sonography. AJR Am J Roentgenol. 169(4):1039-43, 1997
                                                                          26. Zuckerman J et al: Imaging of pelvic postpartum complications. AJR Am J Roentgenol. 168(3):663-8, 1997
                                                                          27. Rooholamini SA et al: Imaging of pregnancy-related complications. Radiographics. 13(4):753-70, 1993
                                                                          28. Toland KC et al: Postpartum ovarian vein thrombosis presenting as ureteral obstruction: a case report and review of the literature. J Urol. 149(6):1538-40, 1993
                                                                          29. Jacoby WT et al: Ovarian vein thrombosis in oncology patients: CT detection and clinical significance. AJR Am J Roentgenol. 155(2):291-4, 1990
                                                                          30. Leclerc JR et al: Venous thromboembolic disorders. Burrow GN et al: Medical Complications During Pregnancy. Saunders. 204-23, 1988
                                                                          31. Baran GW et al: Duplex Doppler evaluation of puerperal ovarian vein thrombosis. AJR Am J Roentgenol. 149(2):321-2, 1987
                                                                          32. Angel JL et al: Computed tomography in diagnosis of puerperal ovarian vein thrombosis. Obstet Gynecol. 63(1):61-4, 1984
                                                                          33. Munsick RA et al: A review of the syndrome of puerperal ovarian vein thrombophlebitis. Obstet Gynecol Surv. 36(2):57-66, 1981
                                                                          34. Brown TK et al: Puerperal ovarian vein thrombophlebitis: a syndrome. Am J Obstet Gynecol. 109(2):263-73, 1971
                                                                          35. Ikard RW et al: Lower limb venous dynamics in pregnant women. Surg Gynecol Obstet. 132(3):483-8, 1971
                                                                          36. Goodrich SM, Wood JE: Peripheral venous distensibility and velocity of venous blood flow during pregnancy or during oral contraceptive therapy. Am J Obstet Gynecol 90:740, 1964
                                                                          37. Kerr MG et al: Studies of the inferior vena cava in late pregnancy. Br Med J 1:532, 1964