[The significance of computed tomography and ultrasound in the diagnosis of puerperal ovarian vein thrombophlebitis].
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.
Spitzer
D
D
Landesfrauenklinik, Salzburg.
Staudach
A
A
Doringer
E
E
Steiner
H
H
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
Die Bedeutung von Computertomographie und Ultraschall in der Diagnostik der puerperalen Ovarialvenenthrombophlebitis (POVT).