Ovarian vein thrombosis in oncology patients: CT detection and clinical significance.

Jacoby, William T.; Cohan, Richard H.; Me, Baker; Leder, Richard A.; Nadel, S N; Dunnick, N. Reed

doi:10.2214/ajr.155.2.2115254

Cited by 57 publications

(38 citation statements)

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“…Appropriate treatment for occult and atypi cal cases of OVT is a matter of debate. In the series of oncology patients previously men tioned, only one patient was treated,and com plications of venous thrombosis did not develop in any of the six during the course of the study (9]. However, in 1978, Maull et al…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Unusual causes of ovarian vein thrombosis as revealed by CT and sonography.

Quane¹,

Kidney²,

Cohen³

1998

American Journal of Roentgenology

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Section: Discussionmentioning

confidence: 98%

“…Since then, the CT, sonographic. and MR imaging findings of this entity have been well described, and these methods have been shown to be reliable for detecting OVT 14.â€"61. with all but one of these patients clinically asymptomatic [9]. Appropriate treatment for occult and atypi cal cases of OVT is a matter of debate.…”

Section: Discussionmentioning

confidence: 99%

Unusual causes of ovarian vein thrombosis as revealed by CT and sonography.

Quane¹,

Kidney²,

Cohen³

1998

American Journal of Roentgenology

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“…4 Appropriate management in the setting of cancer has not been established, with observation and short-term anticoagulation both being considered acceptable strategies. 5, 6 …”

Section: Introductionmentioning

confidence: 99%

Ovarian vein thrombosis after debulking surgery for ovarian cancer: epidemiology and clinical significance

Mantha

Sarasohn

et al. 2015

American Journal of Obstetrics and Gynecology

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OBJECTIVE Ovarian vein thrombosis is associated with pregnancy and pelvic surgery. Postpartum ovarian vein thrombosis is associated with infection and a high morbidity rate, and is treated with anticoagulant and intravenous antibiotic therapy. The natural history of such thrombotic events after debulking surgery for ovarian cancer has not been well described. Our objective was to characterize the presentation and outcomes for patients with this condition at our institution. STUDY DESIGN We conducted a retrospective study of patients who underwent surgical debulking for ovarian cancer at Memorial Sloan Kettering Cancer Center between the years 2001 and 2010. Patients were included if contrast computed tomography scans of the abdomen and pelvis were performed both within 12 weeks before and 12 weeks after the surgery. The images were reviewed to assess for the presence and extent of a new post-operative ovarian vein thrombosis. When available, subsequent studies were assessed for thrombus progression. Medical records were reviewed to determine if anticoagulation was used for treatment of the thrombotic episode and to record the occurrence of any new significant venous thromboembolic event in the following year. RESULTS 159 patients had satisfactory imaging. New ovarian vein thrombosis was a common complication of debulking surgery, as found in 41 (25.8%) of patients. Only 5 women with ovarian vein thrombosis were started on anticoagulation, of which 2 individuals had an independent venous thromboembolic event as indication for treatment. Only 2 (4.9%) of the ovarian vein thromboses progressed to the inferior vena cava or left renal vein on subsequent scan. The estimated cumulative incidence of venous thromboembolism one year after the first post-operative scan was 17.1% for patients in the new ovarian vein thrombosis group, versus 15.3% of individuals for the group without a post-operative ovarian vein thrombosis (p=0.78). CONCLUSION Ovarian vein thrombosis is commonly encountered after debulking surgery for ovarian cancer. Anticoagulation is usually not indicated and clinically meaningful thrombus progression rarely occurs.

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“…Spontaneous gonadal vein thrombosis especially in puerperal women have been reported, they can be asymptomatic or cause potentially catastrophic phenomena such as pulmonary embolism, sepsis or even death 3 4. Rare causes of this entity are pelvic inflammatory disease, pelvic malignancies, Crohn's disease and pelvic surgical procedures 5 6. A thick-walled, enlarged ovarian vein with rim enhancement and central hypodensity are considered the main CT imaging findings of ovarian vein thrombosis 7.…”

Section: Descriptionmentioning

confidence: 99%