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Postpartum ovarian vein thrombosis with simultaneous pyelocaliectasis: diagnosis and follow-up by MR imaging. Case report and literature review

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Abstract

We describe the critical role of MR imaging in a case of postpartum ovarian vein thrombosis (OVT) with concomitant pyelocaliceal ectasia. MR imaging confirmed the diagnosis suspected on the basis of ultrasonography and computed tomography by demonstration of a subacute clot with high signal intensity within the right ovarian vein and its complete resolution after anticoagulant therapy. MR imaging is a useful noninvasive, accurate tool for the diagnosis and follow-up of this potentially life-threatening condition, providing information helpful for choosing a prompt medical treatment rather than a surgical therapy. To our knowledge, no previous case of OVT causing pyelocaliceal ectasia documented by MR imaging has been reported. However, even though our case is suggestive, a cause–effect relationship between OVT and hydronephrosis could not be demonstrated with certainty.

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Authors and Affiliations

  1. Department of Radiology, Santissima Annunziata Hospital, Taranto, Italy

    Michele Scialpi & Maria Chiara Resta

  2. Department of Nephrology, Santissima Annunziata Hospital, Taranto, Italy

    Arcangelo Di Maggio

  3. Department of Radiology, Martina Franca Hospital, Italy

    Giovanni Trisciuzzi

  4. Department of Radiology, University Hospital, Bari, Italy

    Antonio Rotondo

  5. Department of Radiology, University Hospital, Perugia, Italy

    Luciano Lupattelli

  6. Via Solito 83, 74100 , Taranto, Italy

    Michele Scialpi

Authors
  1. Michele Scialpi
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  2. Arcangelo Di Maggio
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  3. Giovanni Trisciuzzi
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  4. Maria Chiara Resta
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  5. Luciano Lupattelli
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  6. Antonio Rotondo
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Correspondence to Michele Scialpi.

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Scialpi, M., Di Maggio, A., Trisciuzzi, G. et al. Postpartum ovarian vein thrombosis with simultaneous pyelocaliectasis: diagnosis and follow-up by MR imaging. Case report and literature review. Emergency Radiology 10, 60–63 (2003). https://doi.org/10.1007/s10140-003-0280-9

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  • DOI: https://doi.org/10.1007/s10140-003-0280-9

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