Right ovarian vein thrombosis with extension to the inferior vena cava

The ovarian veins are the most frequently involved veins in puerperal pelvic venous thrombosis (Allan et al., 1975). We present a case with extension of lithrombus from the right ovarian vein into the inferior vena cava. A 28-year-old gravida 3, para 3 had a vaginal delivery followed by manual removal of the placenta. Twenty-four hours later she developed fever and right lower quadrant pain and tenderness. Appendicitis was suspected and when rebound tenderness was found on the 4th postpartum day, a laporotomy was performed.