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Ovarian vein thrombosis: a rare but not to be forgotten cause of abdominal pain
  1. Matilde Matos Martins,
  2. Carolina Carneiro,
  3. Susana Leitão and
  4. Cristina Costa
  1. Gynaecology and Obstetrics, Centro Hospitalar de Entre o Douro e Vouga EPE, Santa Maria da Feira, Aveiro, Portugal
  1. Correspondence to Dr Matilde Matos Martins; matildemartinsm{at}


A healthy 38-year-old woman, with no significant medical or surgical history, was referred to the gynaecology emergency department with acute low quadrant abdominal pain and nausea. On examination, painful palpation of right iliac fossa, abdominal guarding and positive Blumberg’s sign were noted. An abdominal-pelvic CT scan showed a hypodense tubular structure with peripheral enhancement to the right of the inferior vena cava, suggestive of thrombosis of the right ovarian vein. The only risk factor identified was the use of the combined contraceptive pill.

  • contraception
  • drugs: obstetrics and gynaecology
  • radiology

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  • Contributors MMM and SL were the ones that examined the patient, made the diagnosis and were responsible for the follow-up. MMM wrote the case report and asked for the patient consent. CC, SL and CC made substantial contributions to the conception, design of the work and revised it critically for important intellectual content.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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

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