Case 202

 A seventy one-year-old female presented in our hospital for persistent fever of 37.8 to 38.6℃ for approximately 10 days. She had cough and slight abdominal pain. Laboratory test revealed CRP 16.75 mg/dL, white blood cells 9710/mm³, Hb 10.8g/dL, PTINR 1.3, fibrinogen 713.9 mg/dL, D-dimer 5.01µg/mL, Na 134mEq/L, Cl 98 mEq/L, IgA 811 mg/dL.
 She received contrast-enhanced abdominal CT (Figs 1, 2).

What is your diagnosis ?

1.　Ovarian varices

2.　Ovarian vein leiomyoma

3.　Ovarian vein thrombosis

4.　Ovarian tumor thrombosis

5.　Ovarian tumor

answer

2020.8.26