Postpartum ovarian vein thrombosis: Report of 2 cases and review of diagnosis

Abstract

Postpartum ovarian vein thrombosis (POVT) is a rare but serious complication that can occur after childbirth, particularly after caesarean section. It is characterized by the formation of a blood clot in the ovarian vein, which can lead to significant morbidity and mortality. The clinical presentation of POVT is often nonspecific with symptoms that can mimic other acute abdominal conditions, making its diagnosis challenging. Early and accurate diagnosis using noninvasive imaging techniques is crucial for the timely treatment and prevention of severe complications. The primary treatments for POVT include anticoagulation therapy and intravenous antibiotics. This article reviews the aetiology, clinical presentation, diagnostic approaches, and management of POVT, with particular emphasis on the importance of recognizing this condition to avoid unnecessary surgical interventions.