Left Ovarian Vein Thrombophlebitis in the Postpartum Period

Assessment of abdominal pain in puerperal women can be challenging given that physiological and often self-limited benign causes predominate in this clinical context, although the etiological spectrum is wide and includes serious and potentially fatal causes. The paper presents a case of left ovarian thrombophlebitis, clinically manifested from the fifth day of puerperium in a 30-year-old patient. Clinicians should have a high degree of suspicion of rare adnexal thromboembolic events in postpartum period when frequent symptoms (fever, pain) and analytical changes (leukocytosis, increased C-reactive protein) occur in association with the imaging findings of edematous ovary with vascular congestion, even if there are other possible explanations for such a clinical situation.