Septic pelvic thrombophlebitis is one of the causes of resistant postpartum fever which can lead to ovarian vein thrombosis and significant complications. We report a case of a 30-year-old multigravida woman pregnant with twins presented with fever and abdominal pain after uncomplicated vaginal delivery. She was diagnosed with right ovarian vein thrombosis by Doppler ultrasonography and computed tomography. The patient received antibiotics and anticoagulant therapy. Clinical suspicion and rapid diagnosis of ovarian vein thrombosis during postpartum period in the setting of fever can save patients lives.
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