Diagnosis of pregnancy-associated uterine venous plexus thrombosis on the basis of transvaginal sonography.
J Ultrasound Med
; 22(3): 287-93, 2003 Mar.
Article
em En
| MEDLINE
| ID: mdl-12636329
ABSTRACT
OBJECTIVE:
To describe the sonographic signs of uterine venous plexus thrombosis.METHODS:
Four pregnant patients had a diagnosis of uterine venous plexus thrombosis in the first half of gestation. The diagnosis was based on transvaginal sonography only in 3 cases, and the fourth had magnetic resonance imaging corroboration.RESULTS:
All 4 patients had similar sonographic features of uterine venous plexus thrombosis on transvaginal sonographic examination. The thrombi within the dilated veins were shown as elongated echogenic structures along the lumen that appeared round on transverse views of the affected veins. They showed swinging movements provoked by gentle transducer pressure. Power and color Doppler sonography enhanced the uterine venous plexus thrombosis diagnosis by showing blood flow around the thrombi. There were no signs of thromboembolic disease. Sonographic findings in deep leg veins and iliac veins were normal in all cases. Complete thrombophilia studies did not reveal any abnormalities. The uterine venous plexus thrombosis could not be detected on transabdominal sonography and was shown better by transvaginal sonography compared with magnetic resonance imaging. During 3 months of anticoagulation therapy, the thrombi gradually disappeared in all cases.CONCLUSIONS:
Focusing on the pelvic veins while performing a transvaginal sonographic study during pregnancy may reveal important findings, which may have clinical implications. The therapeutic treatment of uterine venous plexus thrombosis is controversial and still empirical.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Cardiovasculares na Gravidez
/
Doenças Uterinas
/
Útero
/
Ultrassonografia Pré-Natal
/
Ultrassonografia Doppler em Cores
/
Trombose Venosa
/
Plexo Hipogástrico
Tipo de estudo:
Diagnostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
J Ultrasound Med
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Israel