Abstract

Ovarian vein thrombosis (OVT) is a rare but potentially serious postpartum complication, which occurs in 0.05% to 0.18% of pregnancies and is diagnosed on the right side in 80% to 90% of the cases [1,2]. As OVT can mimic acute abdomen it should be considered in the differential diagnosis of postpartum acute abdomen [3]. We present a case of a 29-year-old female who presented a diffuse abdominal pain, fever and vomit on her third postpartum day. Her computed tomography demonstrated left ovarian vein repletion defect compatible with the presence of a thrombus. She was treated with enoxaparin and antibiotics, which lead to a resolution of the thrombus. Our case highlights the importance of prompt diagnosis and treatment of OVT in order to prevent morbidity and mortality.

Keywords: Ovarian vein thrombosis; Thrombosis; Anticoagulation; Postpartum

Abbreviations: OVT: Ovarian Vein Thrombosis; CT: Computed Tomography