[Extensive postpartum, bilateral ovarian vein thrombosis]

A 29-year-old woman with extensive pelvic thrombophelebitis complicating postpartum, ovarian vein thrombosis is described. The phlebitic process involved both ovaries, extending upwards to the inferior vena cava above the level of the renal veins and downwards to the ileo-femoral system, obstructing the venous drainage of the lower limbs. Extensive postpartum thrombophlebitis is now rarely encountered, since its early clinical diagnosis using CT and US techniques allows early treatment, obviates this complication. Postpartum bedside alertness, aided by modern imaging techniques, may prevent serious, life-threatening complications.