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      An unusual case: right proximal ureteral compression by the ovarian vein and distal ureteral compression by the external iliac vein

      case-report

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          Abstract

          A 32-years old woman presented to the emergency room of Bozok University Research Hospital with right renal colic. Multidetector computed tomography (MDCT) showed compression of the proximal ureter by the right ovarian vein and compression of the right distal ureter by the right external iliac vein. To the best of our knowledge, right proximal ureteral compression by the ovarian vein together with distal ureteral compression by the external iliac vein have not been reported in the literature. Ovarian vein and external iliac vein compression should be considered in patients presenting to the emergency room with renal colic or low back pain and a dilated collecting system.

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          Most cited references10

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          Ovarian vein syndrome: a review.

          The Ovarian Vein Syndrome was first reported in 1964, yet its existence as a true pathophysiological entity remains controversial. It may present as an acute or chronic disease, typically affecting young, multiparous women. This review discusses the literature to date on this poorly recognised cause of ureteric obstruction and pelvic pain, including developments in the diagnosis and management of this eminently treatable condition.
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            Unilateral hydroureteronephrosis secondary to iliac aneurysm

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              Diagnosis of Ovarian Vein Syndrome (OVS) by Computed Tomography (CT) Imaging

              Abstract This article aims to explore the characteristics of computed tomography (CT) images of ovarian vein syndrome (OVS). The approval of the research ethics committee and the written informed consent of the patients were obtained. The CT images of 11 patients who had been diagnosed with OVS were retrospectively analyzed. All patients were examined with CT urogram, both plain CT scans and enhanced CT scans (including arterial phase, venous phase, and secretory phase). The datum was pulled into a computer workstation for post-processing. Ureteral obstruction at the position and ureteral dilation above it, where the ovarian vein crosses over the ureter, were found in all 11 patients. In addition, 4 patients presented with right upper ureteric calculi, 10 with right renal calculi (including 8 patients with multiple renal calculi that also had obvious uronephrosis), and 2 with a urinary calculus or cystolith. The diameter of the ovarian vein in them ranged from 5 mm to 13 mm. Varicose veins around the uterus were found in 2 patients, and the diameter of the left ovarian vein was larger than 7 mm in 1 patient. In conclusion, analysis of CT images is a vital method in diagnosing OVS.
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                Author and article information

                Journal
                JHS
                Journal of Health Sciences
                University of Sarajevo Faculty of Health Studies (Bosnia )
                2232-7576
                1986-8049
                2015
                : 5
                : 3
                : 110-112
                Affiliations
                [1 ]Department of Radiology, Bozok University Faculty of Medicine, Yozgat, Turkey
                [2 ]Department of Urology, Bozok University Faculty of Medicine, Yozgat, Turkey
                [3 ]Department of Radiology, Atatürk Research and Education Hospital Ankara, Turkey
                [4 ]Department of Anatomy, Hacettepe University Faculty of Medicine Ankara, Turkey
                Author notes
                [* ]Corresponding Author: Sebahattin Albayrak, Department of Urology, Bozok University Faculty of Medicine, Yozgat, Turkey. E-mail: salbayrak77@ 123456hotmail.com
                Article
                JHS-5-110
                10.17532/jhsci.2016.299
                e98bcbb0-c24b-4d99-ad57-9875395fa37b
                Copyright: © 2015 Halil Ibrahim Serin, et al.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 November 2015
                : 25 December 2015
                Categories
                CASE REPORT

                Nursing,General medicine,Medicine,Molecular medicine,Life sciences
                Distal ureteral compression,proximal ureteral compression,ovarian vein,external iliac vein

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