{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T11:32:34Z","timestamp":1790681554371,"version":"4.1.0"},"reference-count":17,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,1,15]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Ovarian vein thrombophlebitis (OVT) is a rare but serious complication, most often described postpartum but also possible after abortion or pelvic surgery. It represents part of a spectrum that includes ovarian vein thrombosis, OVT and septic pelvic thrombophlebitis (SPT). Clinical features are non-specific, with pelvic pain and persistent fever often mimicking endometritis, urinary tract infection or other abdominal conditions, which contributes to delayed diagnosis. Imaging, particularly contrast-enhanced CT, is crucial for confirmation.<\/jats:p>\n                  <jats:p>We report the case of a woman in her 20s who developed OVT after an abortion at 16 weeks\u2019 gestation, an exceedingly uncommon setting for this condition. Diagnosis was established by clinical features, inflammatory markers and CT showing right ovarian vein thrombosis. She was successfully treated with broad-spectrum antibiotics and anticoagulation, transitioning from low-molecular-weight heparin to rivaroxaban, with complete recovery.<\/jats:p>","DOI":"10.1136\/bcr-2025-269604","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T11:25:28Z","timestamp":1769772328000},"page":"e269604","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Ovarian vein thrombophlebitis as a complication of second trimester abortion"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2125-6111","authenticated-orcid":false,"given":"Ines","family":"Garcia Nunes","sequence":"first","affiliation":[{"name":"Obstetrics Department, Unidade Local de Sa\u00fade de Amadora\/Sintra, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia Pereira","family":"Amaral","sequence":"additional","affiliation":[{"name":"Obstetrics Department, Unidade Local de Sa\u00fade de Amadora\/Sintra, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre Reis","family":"Correia","sequence":"additional","affiliation":[{"name":"Gynecology, Unidade Local de Sa\u00fade de Amadora\/Sintra, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta Lu\u00edsa","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Obstetrics Department, Unidade Local de Sa\u00fade de Amadora\/Sintra, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"2026013003251477000_19.1.e269604.1","doi-asserted-by":"crossref","first-page":"251","DOI":"10.11604\/pamj.2015.21.251.6908","article-title":"Ovarian vein thrombosis","volume":"21","author":"Jenayah","year":"2015","journal-title":"Pan Afr Med J"},{"key":"2026013003251477000_19.1.e269604.2","first-page":"699","article-title":"Ovarian vein thrombophlebitis: An unusual cause of postpartum fever and abdominal pain","volume":"33","author":"Chim","year":"2011","journal-title":"J Obstet Gynaecol Can"},{"key":"2026013003251477000_19.1.e269604.3","unstructured":"Lopes-Casal R , Saavedra-Rocha I , Serrano F , et al . Left ovarian vein thrombophlebitis in the postpartum period. The Trocar 2023;4. doi:10.36205\/trocar2.2023006"},{"key":"2026013003251477000_19.1.e269604.4","first-page":"828","article-title":"Ovarian vein thrombosis after elective abortion","volume":"96","author":"Sreenarasimhaiah","year":"2000","journal-title":"Obstet Gynecol"},{"key":"2026013003251477000_19.1.e269604.5","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2022.916920","article-title":"Clinical Characteristics and Management of Ovarian Vein Thrombosis: A Case Series","volume":"9","author":"Alsheef","year":"2022","journal-title":"Front Cardiovasc Med"},{"key":"2026013003251477000_19.1.e269604.6","unstructured":"Aird W . Ovarian vein thrombosis. The Blood Project.. 2024. Available: https:\/\/www.thebloodproject.com\/gonadal-vein-thrombosis"},{"key":"2026013003251477000_19.1.e269604.7","unstructured":"Bouros D , Berger P . Septic thrombophlebitis: overview. Medscape; 2024. Available: https:\/\/emedicine.medscape.com\/article\/786526-overview"},{"key":"2026013003251477000_19.1.e269604.8","doi-asserted-by":"publisher","DOI":"10.1055\/a-1306-4327"},{"key":"2026013003251477000_19.1.e269604.9","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1055\/s-0037-1604245","article-title":"Risk Factors for Postpartum Septic Pelvic Thrombophlebitis: A Multicenter Cohort","volume":"34","author":"Dotters-Katz","year":"2017","journal-title":"Amer J Perinatol"},{"key":"2026013003251477000_19.1.e269604.10","first-page":"99","article-title":"Puerperal ovarian vein thrombophlebitis: A syndrome","volume":"35","author":"Brown","year":"1970","journal-title":"Obstet Gynecol"},{"key":"2026013003251477000_19.1.e269604.11","first-page":"494","article-title":"Ovarian vein thrombosis: a case report","volume":"3","author":"Aguilar","year":"2019","journal-title":"Int J Med Rev Case Rep"},{"key":"2026013003251477000_19.1.e269604.12","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1067\/mob.2002.123990","article-title":"Sonographic visualization of ovarian veins during the puerperium: an assessment of efficacy","volume":"186","author":"Smith","year":"2002","journal-title":"Am J Obstet Gynecol"},{"key":"2026013003251477000_19.1.e269604.13","doi-asserted-by":"publisher","DOI":"10.1182\/asheducation-2017.1.168"},{"key":"2026013003251477000_19.1.e269604.14","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/S0301-2115(99)00149-9","article-title":"A case report of acute pelvic thrombophlebitis missed by magnetic resonance imaging of the pelvic veins","volume":"88","author":"Magee","year":"2000","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2026013003251477000_19.1.e269604.15","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/0002-9378(74)90369-X","article-title":"Heparin therapy in septic pelvic thrombophlebitis: A study of 46 cases","volume":"120","author":"Josey","year":"1974","journal-title":"Am J Obstet Gynecol"},{"key":"2026013003251477000_19.1.e269604.16","doi-asserted-by":"publisher","DOI":"10.1182\/bloodadvances.2017006577"},{"key":"2026013003251477000_19.1.e269604.17","first-page":"1000245","article-title":"The efficacy and safety of anticoagulation for the management of gonadal vein thrombosis","volume":"3","author":"Alcantar-Gil","year":"2024","journal-title":"J Vasc Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-269604","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T11:25:31Z","timestamp":1769772331000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-269604"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1,30]]},"published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1136\/bcr-2025-269604"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-269604","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}