An unusual case: right proximal ureteral compression by the ovarian vein and distal ureteral compression by the external iliac vein
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.
Ritter L, Gotz G, Sorge I, Lehnert T, Hirsch FW, Buhligen U, et al. Significance of MR angiography in the diagnosis of aberrant renal arteries as the cause of ureteropelvic junction obstruction in children. Rofo. 2015; 187(1):42-8. doi: 10.1055/s-0034-1385106
Laidig CE, Pierce JM, Jr. Retrocaval ureter--unusual cause of ureteral obstruction. J Am Med Assoc. 1959; 171:2312-4. http://dx.doi.org/10.1001/jama.1959.73010350006007b
Shopov A, Malinova M. [Ovarian vein syndrome during pregnancy--diagnostic and treatment] [Article in Bulgarian]. Akush Ginekol (Sofiia). 2013; 52(4):37-40.
Meyer JI, Wilbur AC, Lichtenberg R. Ureteric obstruction by the right testicular vein: CT diagnosis. Urol Radiol. 1992; 13(4):233-6.
Ameur A, Lezrek M, Boumdin H, Jira H, Beddouch A, Abbar M. [Right ovarian vein syndrome: report of a case and review of the literature] [Article in French]. Ann Urol (Paris). 2002; 36(6):368-71. http://dx.doi.org/10.1016/S0003-4401(02)00128-6
Tourne G, Ducroux A, Bourbon M, Blinding H. [The ovarian vein syndrome: eight cases and review of the literature] [Article in French]. J Gynecol Obstet Biol Reprod (Paris). 2002; 31(5):471-7.
Bhutta HY, Walsh SR, Tang TY, Walsh CA, Clarke JM. Ovarian vein syndrome: a review. Int J Surg. 2009; 7(6):516-20. http://dx.doi.org/10.1016/j.ijsu.2009.09.008
Villani U, Leoni S, Mora A. Unilateral hydroureteronephrosis secondary to iliac aneurysm. Urology. 1985; 26(1):62-3. http://dx.doi.org/10.1016/0090-4295(85)90258-4
Wang R, Yan Y, Zhan S, Song L, Sheng W, Song X, et al. Diagnosis of ovarian vein syndrome (OVS) by computed tomography (CT) imaging: a retrospective study of 11 cases. Medicine. 2014; 93:53. http://dx.doi.org/10.1097/MD.0000000000000053
Singh G, Raza M, Kouriefs C, Masood S, Bosanac Z, Mufti GR. External iliac artery aneurysm and ureteric obstruction in a solitary kidney. Emerg Med J. 2006; 23(8):660.