Résumé: Background: Postpartum ovarian vein thrombosis (POVT) is a rare but potentially severe complication. Its nonspecific clinical presentation may mimic other abdominal emergencies, delay diagnosis and increase the risk of serious complications, including extension to the inferior vena cava and pulmonary embolism. Case Report: We report a case of a 28-year-old woman, second gestation and primiparous in her first delivery, who presented with acute right iliac fossa pain and fever on postpartum day 13 following a cesarean section. Laboratory findings showed leukocytosis and elevated C-reactive protein. Initial ultrasound was unremarkable, while contrast-enhanced abdominopelvic CT confirmed thrombosis of the right ovarian vein. The patient was treated with therapeutic anticoagulation (enoxaparin 1 mg/kg twice daily), resulting in complete resolution of symptoms within 48 hours. Thrombophilia workup was negative. Conclusion: Postpartum ovarian vein thrombosis can be presented with a misleading clinical picture. Prompt clinical suspicion and imaging are essential. Early anticoagulation prevents thrombus extension and pulmonary embolism, reducing the risk of severe complications.

Résumé: L'HTA gestationnelle est une complication fréquente de la grossesse qui peut entraîner des conséquences graves pour la mère et le fœtus. L'identification précoce des facteurs de risque et la surveillance régulière de la mère et du fœtus sont essentielles pour prévenir et traiter les complications associées à cette affection. Les urgences obstétricales y compris la PE nécessitent vigilance, concentration et réactivité de la part du personnel soignant. il y’a donc une obligation pour la mise en place d’une organisation efficace.