Pelvic Varices and Questionable Thrombus
Lisa Comer
Title of image: Pelvic Varices and
Questionable Thrombus
Description of image: Endovaginal sonography of
the ovary with pelvic varices/color Doppler and possible
thrombus. 35 year old G2P2 (last pg not recent),
sonography of LLQ requested to f/u LO cyst (apparently
this ? clot was not seen or not present on sonograms 6
wks prior). RO removed several yrs ago due to dermoid.
Although ovarian vein not clearly identified on this
sonogram, CT was performed and showed no evidence of
femoral or iliac vein thrombosis (no mention of ovarian
vein on CT). No follow-up sonography yet. These images
demonstrate dramatically the judicious use of color
Doppler: the varices light up and the follicles
in the ovary do not. For discussion of differential
diagnoses, is the mass a thrombus?
Click to enlarge

left ovary with adjacent pelvic varices and questionable
thrombus. Any other suggestions?

ovary with pelvic varices/color doppler and ? thrombus
Lisa Comer - jcomer@hotmail.com
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