Bilateral Ovarian Vein Thrombosis in a Post-menopausal Woman Leading to Diagnosis of Non-gynecological Malignancy: A Case Report

Bilateral ovarian vein thrombosis (OVT) is hard to find, particularly in post-menopausal women. We report the case of a 62-year-old woman who presented with abdominal pain and was found to have bilateral OVT secondary to adenocarcinoma of the sigmoid colon. This case illustrates OVT as a potential sentinel sign of underlying malignancy and highlights the importance of reviewing incidental radiological findings. Early recognition and multidisciplinary management are crucial to prevent complications and enable timely diagnosis and treatment.