Presented with constant lower abdominal pain that started several hours earlier, and nausea. No vomiting, fever, diarrhea or dysuria. History of cesarean section and renal calculi.
Calculus seen in right ureter. She went on to have a cystoscopy with double J insertion.

Incidental rare venous variant where the left adrenal vein and left ovarian vein, both of which usually drain into the left renal vein (retroaortic in the case), drain here into a common trunk (or perhaps the left ovarian vein drains into the left adrenal vein) which drains into the IVC.