This is a case report of a patient, totally dependent on parenteral nutrition, with thrombosis of the superior vena cava and infrarenal inferior vena cava. The ovarian vein was the most accessible route for placement of a long-term indwelling catheter. We describe a technique of central venous access via the ovarian vein through a lower midline laparotomy. (journal of Parenteral and Enteral Nutrition21:235-237, 1997)
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