Postpartum septic pelvic thrombophlebitis and ovarian vein t
Septic pelvic thrombophlebitis (SPT) is a well-recognized but rare puerperal complication that has two types: ovarian vein thrombophlebitis (OVT) and deep septic pelvic thrombophlebitis (DSPT).

The present case report describes the clinical and imaging findings of a female patient diagnosed with right ovarian vein infectious thrombophlebitis after cesarean section (C-section).

A 35-year-old G3P2 female who presented with a fetal vein Galen malformation at 41 weeks of gestation underwent C-section. The patient had a high fever after C-section, and anti-inflammatory treatment was not effective within 1 week. An abdominal wall incision hematoma was found, and second surgery for the removal of the abdominal wall hematoma was performed. The patient was ultimately diagnosed with abdominal incision hematoma and right ovarian vein infectious thrombophlebitis after C-section.

They used imipenem and tigecycline to strengthen the anti-inflammatory effects, simultaneously administrating low-molecular-weight heparin and warfarin as an anticoagulant therapy. On the 30th day after C-section, the right ovarian vein thrombus disappeared.

This case illustrates the need to consider the potential relationship between abdominal incision hematoma and ovarian vein thrombophlebitis.

BMC Pregnancy and Childbirth