Fatema, NAcharya, YDahal, RSayed, AAl Yaqoubi, HN2025-12-022025-12-022019https://hdl.handle.net/20.500.14572/3353Fatema N,1 Acharya Y,2 Dahal R,3 Sayed A,2 Al Yaqoubi HN1 1Department of Obstetrics and Gynaecology, Ibri Regional Hospital, Sultanate of Oman. 2Department of Epidemiology, Preventive and Evidence-based Medicine Avalon University School of Medicine, Curacao, Netherlands Antilles. 3Departmental of Internal Medicine Saint Peter’s University Hospital, New Jersey, USAABSTRACT Postpartum ovarian vein thrombosis is rare but life-threatening complication of puerperium. It predominantly occurs in the right side of the abdomen, mimicking various other conditions like acute appendicitis, ureteral stones or tubo-ovarian abscess. It is imperative to envisage the possibility of this rare disease even in an uncomplicated pregnancy. Here, we reported a 28-year-old female with no significant underlying risk factors who presented with high-grade fever and right lower abdominal pain after four days of an uncomplicated cesarean delivery. A right-sided complete ovarian vein thrombosis extending to the inferior vena cava was diagnosed and subsequently managed with long-term anticoagulant therapy. She had an uneventful recovery, with repeat imaging after three months showing complete resolution of thrombus. KEY WORDS Ovarian vein thrombosis, Postpartum, Pregnancy complicationsen-USOvarian vein thrombosisPostpartumPregnancy complicationsArticle