title: Diagnosis of ovarian vein syndrome (OVS) by computed tomography (CT) imaging: a retrospective study of 11 cases.
abstract: This article aims to explore the characteristics of computed tomography (CT) images of ovarian vein syndrome (OVS). The approval of the research ethics committee and the written informed consent of the patients were obtained. The CT images of 11 patients who had been diagnosed with OVS were retrospectively analyzed. All patients were examined with CT urogram, both plain CT scans and enhanced CT scans (including arterial phase, venous phase, and secretory phase). The datum was pulled into a computer workstation for post-processing. Ureteral obstruction at the position and ureteral dilation above it, where the ovarian vein crosses over the ureter, were found in all 11 patients. In addition, 4 patients presented with right upper ureteric calculi, 10 with right renal calculi (including 8 patients with multiple renal calculi that also had obvious uronephrosis), and 2 with a urinary calculus or cystolith. The diameter of the ovarian vein in them ranged from 5 mm to 13 mm. Varicose veins around the uterus were found in 2 patients, and the diameter of the left ovarian vein was larger than 7 mm in 1 patient.In conclusion, analysis of CT images is a vital method in diagnosing OVS.
authors.affiliation: Shanghai Institute of Medical Imaging (RW, XW); Department of Interventional Radiology (RW, XW), Zhongshan Hospital, Fudan University; Department of Radiology (RW, SZ), Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine; Department of Obstetrics and Gynecology (YY), Shanghai First Maternity and Infant Hospital; Department of Radiology (LS, WS); Department of Urology (XS), Shanghai Seventh People's Hospital, Shanghai, China.
authors.forename: Ruizhi
authors.initials: R
authors.lastname: Wang
authors.forename: Yan
authors.initials: Y
authors.lastname: Yan
authors.forename: Songhua
authors.initials: S
authors.lastname: Zhan
authors.forename: Litao
authors.initials: L
authors.lastname: Song
authors.forename: Weihua
authors.initials: W
authors.lastname: Sheng
authors.forename: Xu
authors.initials: X
authors.lastname: Song
authors.forename: Xiaolin
authors.initials: X
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007669:Kidney Calculi / Q000000981:diagnostic imaging; D017116:Low Back Pain / Q000209:etiology; D008875:Middle Aged; D010053:Ovary / Q000098:blood supply*; D056844:Renal Colic / Q000209:etiology; D012189:Retrospective Studies; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014514:Ureteral Calculi / Q000000981:diagnostic imaging; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging*; D014552:Urinary Tract Infections / Q000209:etiology; D014648:Varicose Veins / Q000000981:diagnostic imaging* / Q000473:pathology
references.citation: Br J Obstet Gynaecol. 1988 Feb;95(2):153-61
references.pmid: 3349005
references.citation: Arch Gynecol Obstet. 2012 Jan;285(1):83-5
references.pmid: 21617922
references.citation: Surg Gynecol Obstet. 1970 Mar;130(3):443-52
references.pmid: 5461012
references.citation: Int J Surg. 2009 Dec;7(6):516-20
references.pmid: 19818884
references.citation: J Urol. 1971 Mar;105(3):346-50
references.pmid: 4994365
references.citation: Am J Obstet Gynecol. 1951 Feb;61(2):321-9
references.pmid: 14799548
references.citation: J Urol. 1981 May;125(5):737-8
references.pmid: 7230352
references.citation: AJR Am J Roentgenol. 2001 Jan;176(1):119-22
references.pmid: 11133549
references.citation: Urology. 1974 Apr;3(4):488-90
references.pmid: 4822700
references.citation: J Comput Assist Tomogr. 1999 May-Jun;23(3):429-34
references.pmid: 10348450
references.citation: J Gynecol Obstet Biol Reprod (Paris). 2002 Sep;31(5):471-7
references.pmid: 12379831
references.citation: Phlebology. 2007;22(3):100-4
references.pmid: 18268860
references.citation: J Radiol. 1997 Mar;78(3):223-5
references.pmid: 9113150
references.citation: AJR Am J Roentgenol. 2004 Nov;183(5):1411-5
references.pmid: 15505313
references.citation: JAMA. 1966 Nov 14;198(7):782-3
references.pmid: 5953343
references.citation: Am J Obstet Gynecol. 1969 Mar 15;103(6):888-9
references.pmid: 5765970