Johnson S C, Esclapes M
Department of Radiology, Hutzel Hospital, Wayne State University, Detroit, Michigan 48201, USA.
J Clin Ultrasound. 1998 Mar-Apr;26(3):143-9. doi: 10.1002/(sici)1097-0096(199803/04)26:3<143::aid-jcu6>3.0.co;2-m.
We report the gray-scale, color, and power Doppler findings in 3 cases of postpartum ovarian vein thrombophlebitis (PPOVT), an uncommon but potentially lethal disorder.
A retrospective review of medical records revealed 3 patients with PPOVT who had pelvic sonography performed during the disease course.
The sonographic findings of PPOVT included a tubular, hypoechoic mass identified anterior to the psoas muscle in all cases. Perivenous phlegmon formation resulted in hydronephrosis and obstructive periureteritis in 1 case. Inferior vena cava involvement was detected in 2 cases. Decreases in the sizes of the thrombus and the phlegmon were seen on post-treatment studies.
The long course of the thrombosed ovarian vein and the presence of inferior vena cava thrombus are sonographic signs helpful in distinguishing PPOVT from other inflammatory conditions. Sonography cannot be proposed as a primary tool in the diagnosis of PPOVT because it successfully diagnosed only 1 of our 3 cases. However, sonography may be useful in monitoring the response to anticoagulant therapy.
我们报告3例产后卵巢静脉血栓性静脉炎（PPOVT）的灰阶、彩色及能量多普勒检查结果，这是一种罕见但可能致命的疾病。
对病历进行回顾性分析，发现3例PPOVT患者在病程中接受了盆腔超声检查。
PPOVT的超声表现包括所有病例中均在腰大肌前方发现管状低回声肿块。1例患者因静脉周围蜂窝织炎形成导致肾积水和梗阻性输尿管周炎。2例患者检测到下腔静脉受累。治疗后检查可见血栓和蜂窝织炎大小减小。
卵巢静脉血栓形成的长病程及下腔静脉血栓的存在是有助于将PPOVT与其他炎症性疾病相鉴别的超声征象。超声不能作为PPOVT诊断的主要工具，因为在我们的3例病例中它仅成功诊断出1例。然而，超声可能有助于监测抗凝治疗的反应。
