Ovarian Vein Thrombosis in the Postpartum Period: A Case Report from Mogadishu, Somalia

Mohammed Abdalmunim,1 Yassir Balla,2 Abdiwali Mohamed Abdi,2 Ifrah Mohamed Salad,1 Osama Elsayed Ahmed Alakb,3 Abyan Hassan Dimbil2,4 1Department of Obstetrics and Gynecology, Hodan Hospital, Mogadishu, Somalia; 2Department of Internal Medicine, Hodan Hospital, Mogadishu, Somalia; 3Department of Radiology, Hodan Hospital, Mogadishu, Somalia; 4The Department of Medicine, Faculty of Medicine and Health Sciences, Jamhuriya University, Mogadishu, SomaliaCorrespondence: Abyan Hassan Dimbil, Department of Internal Medicine, Hodan Hospital, Mogadishu, Somalia, Email [email protected]: Ovarian Vein Thrombosis (OVT) is a rare form of pelvic venous thrombosis that occurs mostly during postpartum period. Diagnosis often requires a high index of clinical suspicion and appropriate imaging. Lack of clinical awareness may result in OVT being missed or diagnosed late.Case Presentation: We report the case of a 30-year-old gravida 2 para 1 woman from Somalia who delivered a healthy male infant via spontaneous vaginal delivery at 37 + 4 weeks. The delivery was uncomplicated, and she was discharged in stable condition. The postpartum course was initially uneventful. On postpartum day 7, she developed right lower abdominal pain and episiotomy site discomfort. She remained afebrile with stable vital signs. Transabdominal doppler ultrasound revealed thrombosis of the right ovarian vein. She was managed with a combination of anticoagulants and antibiotics.Conclusion: OVT is a rare but clinically significant condition. It can be diagnosed with an ultrasound (US) Doppler or computed tomography (CT). Anticoagulation remains the mainstay of treatment. In this case, prompt recognition and initiation of therapeutic enoxaparin resulted in full symptom resolution and an uneventful recovery.Keywords: ovarian vein thrombosis, postpartum, case report, anticoagulation, Somalia