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Postpartum ovarian vein thrombosis and venous anatomical variation
  1. João Abrantes,
  2. Eliana Teixeira,
  3. Fernanda Gomes and
  4. Clara Fernandes
  1. Centro Hospitalar Barreiro Montijo EPE, Barreiro, Portugal
  1. Correspondence to Dr João Abrantes, joaomabrantes{at}


A 34-year-old multipara presented 72 hours postpartum with acute right-sided abdominal pain. The investigation revealed mild leucocytosis with positive D-dimer and elevated C reactive protein. Abdominal ultrasound and abdominopelvic CT demonstrated an enlarged right ovarian vein with endoluminal thrombus, representing postpartum ovarian vein thrombosis. The patient became asymptomatic 48 hours after starting broad-spectrum antibiotic treatment and anticoagulant therapy. She completed the treatment in ambulatory regimen and control abdominopelvic CT imaging was performed and revealed a duplicated right ovarian vein and a small residual subacute thrombus in the lumen of the distal right ovarian vein. The patient remained asymptomatic in the clinical follow-up.

  • radiology
  • pregnancy
  • gynecology
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  • Contributors JA performed the patient’s ultrasound and CT, and drafted the manuscript. ET helped on the bibliographic research and edited the manuscript. FG and CF critically reviewed the manuscript. All authors approved the final manuscript and agree to be accountable for all aspects of the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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