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Puerperal ovarian vein thrombosis (POVT) is an uncommon but potentially fatal complication of post gynecological surgery, which is often diagnosed by clinical findings and indirect radiologic signs. Ultrasound (US) and multislice computed tomography (MCT) imaging now offer reliable and accurate methods for suspected POVT. We present here a case of postcaesarean ovarian vein thrombosis and describe its clinical and radiological findings. Differential diagnosis and management are discussed.