Antepartum bilateral ovarian vein thrombosis: Magnetic resonance imaging diagnosis

Nancy M. Bertsch, Joan M. Mastrobattista, Akira Kawashima, Larry A. Kramer

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Antepartum cases of ovarian vein thrombosis are extremely rare and often misdiagnosed. A 22-year-old nullipara at 29 weeks' gestation presented with right lower quadrant pain and fever. Sonography revealed a tubular, hypoechoic mass. At laparotomy, a noninflamed appendix was found and a 2 x 4 cm retroperitoneal mass was palpated near the right ureter. Postoperative magnetic resonance imaging (MRI) revealed bilateral thrombosis of the ovarian veins with caval extension. Therapeutic anticoagulation was achieved, but the patient underwent cesarean delivery 4 days later due to active labor and malpresentation. Postoperative MRI showed no extension of the thrombi, and her postpartum course was otherwise unremarkable. MRI is a valuable, noninvasive tool in the diagnosis of venous thrombi in pregnancy.

Original languageEnglish (US)
Pages (from-to)597-599
Number of pages3
JournalAmerican journal of perinatology
Volume14
Issue number10
DOIs
StatePublished - Nov 1997

Keywords

  • Antepartum thrombosis
  • MRI

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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