Ovarian vein thrombosis in oncology patients: CT detection and clinical significance

During a 13-month period, ovarian vein thrombosis (OVT) was detected with CT in six patients with malignant tumors, five of whom were receiving high-dose chemotherapy at the time of diagnosis. None of these patients belonged to previously recognized risk groups. Unlike most patients with postpartum or postoperative OVT, only one of our patients was symptomatic, and none had related CT findings, such as uterine enlargement or other enhancing pelvic masses. Patients with malignant tumors, particularly those undergoing chemotherapy, are at risk for developing OVT. As OVT is often asymptomatic in these patients, and thrombus may resolve without treatment, anticoagulation may not be routinely necessary.