Ali S, Anjum A, Nasir KM, Khalid AR, Shahzad F, Nashwan AJ. Ovarian vein thrombosis mimicking acute appendicitis: A case report. World J Clin Cases 2025; 13(21): 103525 [DOI: 10.12998/wjcc.v13.i21.103525]
Corresponding Author of This Article
Abdulqadir J Nashwan, PhD, Department of Medicine, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar. anashwan@hamad.qa
Research Domain of This Article
Medicine, General & Internal
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Sabtain Ali, Abdul Rauf Khalid, Department of Surgery, Bahria International Hospital Orchard, Lahore 54000, Punjab, Pakistan
Ayyub Anjum, West Surgical Ward, Mayo Hospital, Lahore 54000, Punjab, Pakistan
Khalid Mahmood Nasir, Department of Medicine, Sharif Medical City Hospital, Lahore 54000, Punjab, Pakistan
Faizan Shahzad, Medical Student, Rawalpindi Medical University, Rawalpindi 54000, Pakistan
Abdulqadir J Nashwan, Department of Medicine, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar
Author contributions: Nasir KM contributed to data curation and methodology; Khalid AR contributed to manuscript writing, editing, and data collection; Ali S and Anjum A contributed to data analysis, resources, and software; Nashwan AJ contributed to conceptualization and supervision. All authors have read and approved the final manuscript.
Informed consent statement: The patient provided informed written consent to publish this report and any accompanying images.
Conflict-of-interest statement: The authors declare no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Abdulqadir J Nashwan, PhD, Department of Medicine, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar. anashwan@hamad.qa
Received: November 25, 2024 Revised: March 5, 2025 Accepted: March 27, 2025 Published online: July 26, 2025 Processing time: 156 Days and 19.3 Hours
Core Tip
Core Tip: Ovarian vein thrombosis (OVT) is a rare condition most commonly seen in postpartum women, presenting with acute abdominal symptoms that can mimic more common conditions like acute appendicitis, ovarian torsion, or ectopic pregnancy. The right ovarian vein is more frequently affected due to its anatomical characteristics, and symptoms typically include right lower quadrant abdominal pain, fever, nausea, and vomiting. Accurate diagnosis requires high suspicion and imaging techniques such as ultrasound, computed tomography, or magnetic resonance imaging. In this case, surgical examination revealed a thrombosed right ovarian vein in a 35-year-old postpartum woman who had been initially diagnosed with acute appendicitis. Surgical excision of the vein, followed by anticoagulation therapy with Rivaroxaban, led to an uneventful recovery. OVT should be considered in the differential diagnosis of postpartum abdominal pain to ensure timely intervention and prevent complications. Early detection and appropriate management are key to favorable outcomes.
