Ovarian vein thrombosis (OVT) is a rare diagnosis. Patients can appear to be very uncomfortable on presentation with a physical examination that can mimic an acute abdomen. OVT is most often diagnosed during the postpartum period [1Jenayah A.A., Saoudi S., Boudaya F., Bouriel I., Sfar E., Chelli D. Ovarian vein thrombosis Pan Afr Med J 2015 Aug 6 ;  21 : 25110.11604/pamj.2015.21.251.6908PMID: 26526119; PMCID: PMC4607796.

Cliquez ici pour aller à la section Références] and not typically seen during pregnancy or after procedures such as dilation and curettage (D&C). The complications from an OVT are significant and include sepsis, thrombophlebitis and pulmonary embolism [3Harris K., Mehta S., Iskhakov E., Chalhoub M., Maniatis T., Forte F., et al. Ovarian vein thrombosis in the nonpregnant woman: an overlooked diagnosis Ther Adv Hematol 2012 Oct ;  3 (5) : 325-328 [cross-ref]

Cliquez ici pour aller à la section Références]. Here we describe a case of OVT with an atypical presentation, diagnosed twenty-four hours after an elective D&C for a second trimester abortion.