title: [The significance of computed tomography and ultrasound in the diagnosis of puerperal ovarian vein thrombophlebitis].
abstract: The diagnosis of puerperal ovarian venous thrombophlebitis (POVT) is problematic, not only because of the low and variable incidence (1:600-6000 births), but also because there are no characteristic clinical symptoms. So far, therefore in 80% of cases it has been diagnosed by exploratory laparatomy. Early non-invasive diagnostic procedures must be aimed at, because surgical intervention involves a high rate of complications and uncomplicated cases can be treated by conservative methods (broad-spectrum antibiotics and anti-coagulants). Several case reports refer to the possibility of recognizing POVT by real-time ultrasound (US) and computer tomography (CT). Two cases are described to illustrate this option for preoperative diagnosis by CT and US. A tubular, annular structure with ring enhancement after application of dye along the anatomical course of the ovarian vein seems to be characteristic for POVT.
authors.affiliation: Landesfrauenklinik, Salzburg.
authors.forename: D
authors.initials: D
authors.lastname: Spitzer
authors.forename: A
authors.initials: A
authors.lastname: Staudach
authors.forename: E
authors.initials: E
authors.lastname: Doringer
authors.forename: H
authors.initials: H
authors.lastname: Steiner
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010053:Ovary / Q000098:blood supply*; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000000981:diagnostic imaging; D013924:Thrombophlebitis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
vernacular_title: Die Bedeutung von Computertomographie und Ultraschall in der Diagnostik der puerperalen Ovarialvenenthrombophlebitis (POVT).