We report a case of postpartum ovarian vein thrombosis and review the literature on the topic. The patient developed fever and abdominal pain after delivery. Empiric antibiotic treatment was prescribed and computed tomography showed right ovarian vein thrombosis.
Ovarian vein thrombosis is an exceptional cause of postpartum fever. Differential diagnosis must be made with more frequent complications (appendicitis, pyelonephritis, and tubo-ovarian abscesses). The pathogenesis is multifactorial and treatment is based on a combination of antibiotics and anticoagulation. The diagnostic procedure of choice is computed tomography scan.