Sonography of postpartum ovarian vein thrombophlebitis.
OBJECTIVE
We report the gray-scale, color, and power Doppler findings in 3 cases of postpartum ovarian vein thrombophlebitis (PPOVT), an uncommon but potentially lethal disorder.


METHODS
A retrospective review of medical records revealed 3 patients with PPOVT who had pelvic sonography performed during the disease course.


RESULTS
The sonographic findings of PPOVT included a tubular, hypoechoic mass identified anterior to the psoas muscle in all cases. Perivenous phlegmon formation resulted in hydronephrosis and obstructive periureteritis in 1 case. Inferior vena cava involvement was detected in 2 cases. Decreases in the sizes of the thrombus and the phlegmon were seen on post-treatment studies.


CONCLUSIONS
The long course of the thrombosed ovarian vein and the presence of inferior vena cava thrombus are sonographic signs helpful in distinguishing PPOVT from other inflammatory conditions. Sonography cannot be proposed as a primary tool in the diagnosis of PPOVT because it successfully diagnosed only 1 of our 3 cases. However, sonography may be useful in monitoring the response to anticoagulant therapy.
Johnson
S C
SC
Department of Radiology, Hutzel Hospital, Wayne State University, Detroit, Michigan 48201, USA.
Esclapes
M
M
D000293:Adolescent; D000328:Adult; D000925:Anticoagulants / Q000008:administration & dosage / Q000627:therapeutic use; D002481:Cellulitis / Q000188:drug therapy / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006493:Heparin / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D010053:Ovary / Q000098:blood supply* / Q000000981:diagnostic imaging; D016658:Psoas Muscles / Q000000981:diagnostic imaging; D011644:Puerperal Disorders / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D013924:Thrombophlebitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy; D018608:Ultrasonography, Doppler; D018615:Ultrasonography, Doppler, Color; D014515:Ureteral Diseases / Q000209:etiology; D014517:Ureteral Obstruction / Q000209:etiology; D014680:Veins / Q000000981:diagnostic imaging; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging
D000925:Anticoagulants; D006493:Heparin