Coronal ((a)–(c)) and axial ((d)–(f)) contrast-enhanced multidetector computerized tomography (MDCT) images demonstrate an enlarged ovarian vein with central hypodensity, representing complete thrombosis (white arrows) extending up to the inferior vena cava, ending at the right renal hilus. There is also surrounding perivascular inflammatory reaction (black arrow heads). Note inflammatory changes in retroperitoneal fat around ovarian vein. Iliac vein is patent. The other ovarian vein is normal in calibration (white arrow heads).
