[Septic ovarian vein thrombosis. Conservative management with CT-controlled follow-up]

Puerperal ovarian vein thrombophlebitis (POVT) is a rare complication during the puerperal period. A late diagnosis can lead to a high rate of morbidity and even mortality. By CT the POVT can be diagnosed early. This enables initiation of an adequate therapy with broad-spectrum antibiotics and i.v. anticoagulation well in time. In this way the disease can often be managed conservatively. CT controls can confirm the effectiveness of the therapy and are helpful in determining the duration of the i.v. anticoagulation.