[Ovarian vein thrombosis].
A 44 year-old woman was admitted with fever and lower abdominal pain at the right side suggestive of appendicitis. Ovarian vein thrombosis was diagnosed by sonography and confirmed by contrast-enhanced CT scan. After heparinisation the complaints disappeared and fever resolved in less than 72 hours. Repeated radiological investigation showed regression of the thrombus. Ovarian vein thrombosis is an uncommon, potentially fatal disorder that can be adequately treated with medication. The cornerstone of the diagnosis consists in non-invasive radiological investigation.
Perquin
D A
DA
Afd. Gynaecologie en Verloskunde, Westeinde Ziekenhuis, Postbus 432, 2501 CK Den Haag.
Warmerdam
P E
PE
Yedema
C A
CA
Puylaert
J B
JB
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D001064:Appendicitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D010053:Ovary / Q000098:blood supply*; D010644:Phenprocoumon / Q000627:therapeutic use; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014680:Veins
D000925:Anticoagulants; D006493:Heparin; D010644:Phenprocoumon