Abstract : One of the most rarest of the entities diagnosed is the ovarian vein thrombosis, especially when in the
postpartum period which occurs in 0.05% -0.18% of the pregnancies mainly associated with the right
side 90% of the times. The mortality and morbidity encountered has been found on a higher range if
not diagnosed appropriately and at the right moment. We present forward a case of a 28-year-old woman
at seven days postpartum presented with a severe excruciating right lower quadrant abdominal pain. Her
contrast enhanced CT of the abdomen and pelvis revealed a large right ovarian vein thrombosis. The patient
was managed as decided and planned by the involvement of a multidisciplinary team with antibiotics
and anticoagulant therapy. This case we encountered illustrates the importance of prompt diagnosis and
appropriate treatment of OVT therefore planning at the best interest of the patient.
Keywords: Ovarian vein Thrombosis, Acute abdomen, Postpartum.