Puerperal ovarian vein thrombosis presenting as Rt loin pain and hydronephrosis: report of 2 cases

Post-partum ovarian vein thrombosis is an uncommon clinical presentation. 90% of cases present as right loin and right iliac fossa pain, within 10 days of the puerperal period. Two such cases that were referred to the Imaging department as suspected appendicitis/ureteric colic are reported. The findings seen on imaging illustrate the difficulty in the clinical and radiological diagnosis of post-partum ovarian vein thrombosis and highlight the need to include it as a differential diagnosis in cases of post partum acute abdomen. Post-partum ovarian vein thrombosis can be accurately diagnosed by appropriate non-invasive investigations to enable early therapy with anti-coagulants and intravenous antibiotics which are the mainstay of treatment. Surgery can be avoided if diagnosis is made early

rare cause of visual defect in a postpartum woman

Reversible, predominant posterior leucoencephalopathy may develop in patient with preeclampsia, eclampsia or delayed PPE. Its clinicoradiological diagnosis is characterized by clinical findings of headache, visual perception defect, altered mental status, and seizures, in conjunction with radiological findings of posterior cerebral whitematter edema/hypodensities