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Re: Pelvic VaricesFrom: Suzy (suzyhny@yahoo.com)Thu Nov 20 17:58:29 2008
Sure a thrombus in pelvic varicies is a possibility. I would think that pelvic varices can become thrombosed just like any other vein, but how often do we actually look at pelvic varices? Diana ( Hi Diana!!) has been scanning a little longer than me, and I would have to say that the one case she has seen is one more than what I have seen. I certainly do not look at pelvic varices as often as I look at varicosities in the extremities, or splenic varices with portal hypertension. Varices are a result of pressure differences, and in the extremities results in stasis and possible formation of thrombus which can extend into the deep sytem. This is certainly significant because of pulmonary embolism. I'm not sure if thrombus in the pelvic varices have the same sequela or if thrombus can extend into the deep vessels of the pelvis. Maybe someone more knowledgable than me can add to that. Suzy Hettena --- On Thu, 11/20/08, Ross, Diana <Diana.Ross@va.gov> wrote: From: Ross, Diana <Diana.Ross@va.gov> Subject: Re: Pelvic Varices To: "Multiple recipients of list ULTRASOUND" <ultrasound@mail.obgyn.net> Date: Thursday, November 20, 2008, 8:13 AM I have seen ovarian vein thrombosis in a patient who was about 2 weeks post partum. One time in 25 years.... -----Original Message----- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of Sonoz Sent: Wednesday, November 19, 2008 8:35 PM To: Multiple recipients of list ULTRASOUND Subject: Pelvic Varices Has anyone ever seen thrombus in a pelvic varice superior to the ovary? Is it even possible, and what would be the significance? In this instance, CT showed a patent iliac/femoral vein. No mention of ovarian vein. Looks like an echogenic "ball"--9mm, surrounded by flow with CDI? No shadowing. Any other possibilities?
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