Re: Pelvic Varices, Questionable Thrombus

From: Dr.Udayakumar (udaya@md2.vsnl.net.in)
Fri Feb 27 17:57:54 2009


It must be Pelvic congestion syndrome. Thrombus must have occurred due to venous stasis.

>
> From: evsono@pipeline.com (art fougner, md)
> Subject: Re: Pelvic Varices, Questionable Thrombus, more likely tumor
>
> Two case reports of pelvic venous thrombosis in the White Journal were
> abstracted as poster presentations in 2000. In both cases, the thrombi
> were described as "elongated echogenic structures with the veins" and
> transversely, as "free round structures within the lumen."
>
> The sonographic diagnosis of uterine venous plexus thrombosis made by
> transvaginal B-mode and color Doppler scanning: two case reports
> Ultrasound in Obstetrics & Gynecology
> Volume 16, Issue s1, Date: October 2000, Pages: 37-37
> Z. Leibovitz, S. Degani, I. Shapiro, J. Tal, B. Paz, Z. Levitan,
> L. M. Schliamser, A. Toubi, G. Ohel
>
> I'd be inclined to incorporate Jim's suggestions into the work-up as
> well as repeat the ultrasound. If tumor search came up negative, I'd
> entertain a trial of anticoagulation.

--
.Dr.Udayakumar
GENESIS SCANS ULTRASOUND TRAINING CENTER
Chennai, INDIA
 http://www.angelfire.com/ut/ultrasoundtraining/index.html



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