title: One not to miss: ovarian vein thrombosis causing pulmonary embolism with literature review.
abstract: Ovarian vein thrombosis (OVT) is an uncommon entity typically seen in the post-partum, patients with pelvic surgery, infection, or inflammation, and hypercoagulabilty. Concurrent pulmonary embolism (PE) may occur in these patients; however, is an uncommon complication. Treatment commonly involves anti-coagulation and antibiotics in the setting of pelvic inflammatory disease. Presented is a case report of ovarian vein thrombosis leading to pulmonary embolism in the setting of malignancy, underscoring the importance of inspecting the gonadal vein during interpretation, particularly in the emergency setting.
authors: Russel H. Morgon Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, Maryland, USA. fverde1@jhmi.edu
authors: Franco
authors: F
authors: Verde
authors: Pamela T
authors: PT
authors: Johnson
mesh_terms: D000368:Aged; D000792:Angiography / Q000379:methods*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010053:Ovary / Q000098:blood supply* / Q000000981:diagnostic imaging; D010690:Phlebography / Q000379:methods; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging* / Q000209:etiology*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D020246:Venous Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging*
keywords: OVT; Ovarian vein thrombosis; PE; computed tomography; pulmonary embolism
references: Oman Med J. 2010 Oct;25(4):299-302
references: 22043362
references: Thromb Haemost. 2005 May;93(5):1004-5
references: 15900650
references: Abdom Imaging. 2006 Nov-Dec;31(6):747-50
references: 16465574
references: Lancet. 1960 Jun 18;1(7138):1309-12
references: 13797091
references: AJR Am J Roentgenol. 1999 Jan;172(1):45-7
references: 9888736
references: Clin Exp Obstet Gynecol. 2000;27(1):24-6
references: 10758793
references: Radiology. 1988 Jun;167(3):637-9
references: 3283835
references: Obstet Gynecol Surv. 1991 Jul;46(7):415-27
references: 1876354
references: Ann Vasc Surg. 2009 Sep-Oct;23(5):688.e7-9
references: 19747614
references: AJR Am J Roentgenol. 1990 Aug;155(2):291-4
references: 2115254
references: J Comput Assist Tomogr. 1999 May-Jun;23(3):429-34
references: 10348450
references: Arch Intern Med. 2003 Jul 28;163(14):1711-7
references: 12885687