Gonadal vein thrombosis | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

Gonadal vein thrombosis

Coronal (images 1, 2, and 3) and axial (image 4) contrast-enhanced CT images show thrombosis of the right gonadal vein (arrow) with the thrombus extending into the inferior vena cava (arrowhead). Spontaneous thrombosis of the gonadal vein most commonly occurs in the postpartum state, with the right gonadal vein being affected more frequently.

Similar cases

Coronal MRI angiogram shows thrombosis of the right internal jugular vein (arrow; note the normal contralateral jugular vein). Jugular vein thrombosis can be caused by infection, indwelling catheter, and prothrombotic states. It can be diagnosed with ultrasound. MRI can be used to evaluate the extent of disease and to help identify alternate venous drainage/access pathways.](https://app.figure1.com/case-detail/0b823056-94c1-4326-8990-2039f280164c)

bilateral #Cavernous-sinus-thrombosis and thrombosis left superior ophthalmic vein (arrows show normal enhancement right SOV and clot within left SOV) added arrows also show clot in cavernous sinuses](https://app.figure1.com/case-detail/15bf43ca-d7d2-4f63-b3d6-2f12d102c222)

Ultrasound image of the right lower extremity shows a lack of color Doppler flow (arrow) in the right distal femoral vein. The most common causes of deep vein thrombosis in the pediatric population include central venous catheter placement, hospitalization, malignancy, congenital heart disease, thrombophilia, and certain medications such as oral contraceptives, asparaginase, and corticosteroids. #MSKMonday #MusculoskeletalMonday](https://app.figure1.com/case-detail/1e4be490-d6e1-40d9-b9a4-d1983636bf2e)

Coronal CT images show spontaneous thrombosis of the portal vein (arrow, image 1) and superior mesenteric vein (arrowhead, image 2). Spontaneous portal vein thrombosis is typically associated with an underlying coagulopathy. Affected patients often have multiple risk factors such as an underlying coagulopathy and the use of oral contraceptives. #TummyTuesday #AbdomenTuesday](https://app.figure1.com/case-detail/47d544cf-4ef9-4b5c-8a06-25fd178f9ee0)