EURORAD ESR

Case 15655

Pulmonary Embolism: complication of Ovarian Vein Thrombosis.

Author(s)
Malmierca P, Paternáin A, Calvo M, Ezponda A, García Baizán A, González de la Huebra Rodríguez I, Bartolomé P, Vivas I

Avda. Pio XII 36 31008 Pamplona, Spain; Email:pmalmierca@unav.es
 
Patient
female, 37 year(s)
 
 
  • Figure 1
    Chest X-Ray
     

    PA (a) and L (b) chest plain films show LLL consolidation (circle).

     
    Area of Interest: Lung; Imaging Technique: Plain radiographic studies; Procedure: Complications; Special Focus: Ischaemia / Infarction;

    PA (a) and L (b) chest plain films show LLL consolidation (circle).

     
    Area of Interest: Lung; Imaging Technique: Plain radiographic studies; Procedure: Complications; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 2
    Thoracic Dual Energy-CT
     

    Axial reformation of thoracic CT, shows intraluminal defects in subsegmental branches of the LLL pulmonary artery that dilate and occlude the vessel (arrow), suggestive of acute pulmonary thromboembolism.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Complications; Special Focus: Embolism / Thrombosis;

    Axial reformation of the iodine maps of thoracic CT shows perfusion defects in the LLL.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Complications; Special Focus: Embolism / Thrombosis;

    Coronal reformation of thoracic CT, shows intraluminal defects in subsegmental branches of the LLL pulmonary artery that dilate and occlude the vessel (arrow), suggestive of acute pulmonary thromboembolism, and a LLL...

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Complications; Special Focus: Embolism / Thrombosis;

    Coronal reformation of the iodine maps of thoracic CT shows perfusion defects in the LLL (arrow) in concordance with the infarction seen in the CT.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Complications; Special Focus: Embolism / Thrombosis;

    Multiplanar reformation of the iodine maps of thoracic CT shows perfusion defects in the LLL (arrow) in concordance with the infarction seen in the CT.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Complications; Special Focus: Embolism / Thrombosis;

    Sagital reformation of thoracic CT shows intraluminal defects in subsegmental branches of the LLL pulmonary artery that dilate and occlude the vessel, suggestive of acute pulmonary thromboembolism and a LLL...

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Complications; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 3
    Abdominal CT
     

    CT coronal reformation shows a thrombus along the entire course of the ovarian veins (arrows), whose caliber is reactively increased.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Complications; Special Focus: Embolism / Thrombosis;

    CT coronal reformation shows a thrombus along the left ovarian vein (arrow), extending through the left renal vein to its outlet in the inferior vena cava.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Complications; Special Focus: Embolism / Thrombosis;

    CT coronal reformation shows the thrombus along the left renal vein (arrow) extending through it to its outlet in the inferior vena cava.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Complications; Special Focus: Embolism / Thrombosis;
     
     
PA (a) and L (b) chest plain films show LLL consolidation (circle).
 
PA (a) and L (b) chest plain films show LLL consolidation (circle).
 
Axial reformation of thoracic CT, shows intraluminal defects in subsegmental branches of the LLL pulmonary artery that dilate and occlude the vessel (arrow), suggestive of acute pulmonary thromboembolism.
 
Axial reformation of the iodine maps of thoracic CT shows perfusion defects in the LLL.
 
Coronal reformation of thoracic CT, shows intraluminal defects in subsegmental branches of the LLL pulmonary artery that dilate and occlude the vessel (arrow), suggestive of acute pulmonary thromboembolism, and a LLL consolidation sugestive of infarction.
 
Coronal reformation of the iodine maps of thoracic CT shows perfusion defects in the LLL (arrow) in concordance with the infarction seen in the CT.
 
Multiplanar reformation of the iodine maps of thoracic CT shows perfusion defects in the LLL (arrow) in concordance with the infarction seen in the CT.
 
Sagital reformation of thoracic CT shows intraluminal defects in subsegmental branches of the LLL pulmonary artery that dilate and occlude the vessel, suggestive of acute pulmonary thromboembolism and a LLL consolidation sugestive of infarction (arrow).
 
CT coronal reformation shows a thrombus along the entire course of the ovarian veins (arrows), whose caliber is reactively increased.
 
CT coronal reformation shows a thrombus along the left ovarian vein (arrow), extending through the left renal vein to its outlet in the inferior vena cava.
 
CT coronal reformation shows the thrombus along the left renal vein (arrow) extending through it to its outlet in the inferior vena cava.
 
 
 
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