Case Report: Pelvic Congestion Syndrome – Successful Treatment of a Nulliparous Patient with Ovarian Vein Embolization

O'Kane, C.; Chinnadurai, A.; Johnston, K.

doi:10.1016/j.jmig.2010.08.463

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pelvic congestion syndrome is a clinical entity, first described in 1857, in which varicose veins are related to CPP . The prevalence of PCS among patients with CPP is found to be 12–33% .…”

Section: Introductionmentioning

confidence: 99%

Noninvasive diagnostic tools for pelvic congestion syndrome: a systematic review

Steenbeek

Vleuten

Kool

et al. 2018

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

IntroductionIn the work‐up of patients with suspected pelvic congestion syndrome, venography is currently the gold standard. Yet if non‐invasive diagnostic tools are found to be accurate, invasive venography might no longer be indicated as necessary.Material and methodsA literature search in Pubmed and EMBASE was performed from inception until 6 May 2017. Studies comparing non‐invasive diagnostic tools to a reference standard in the work‐up of patients with (suspected) pelvic congestion syndrome were included. Relevant data were extracted and methodological quality of individual included studies was assessed by the Quality Assessment of Diagnostic Accuracy Studies (QUADAS‐2) tool.ResultsNine studies matched our inclusion criteria. Six studies compared ultrasonography to venography and three studies described a magnetic resonance imaging technique. In using transvaginal ultrasonography, the occurrence of a vein greater than five mm crossing the uterine body had a specificity of 91% (95% CI; 77–98%) and occurrence of pelvic varicoceles a sensitivity and specificity of 100% (95% CI; 89–100%) and 83–100% (95% CI; 66–93%), respectively. In transabdominal ultrasonography, reversed caudal flow in the ovarian vein accounted for a sensitivity of 100% (95% CI; 84–100%). Detection of pelvic congestion syndrome with magnetic resonance imaging techniques resulted in a sensitivity varying from 88 to 100%.ConclusionsThe sensitivity of ultrasonography and magnetic resonance imaging seem to be adequate, which indicates a role for both tests in an early stage of the diagnostic workup. However, due to methodological flaws and diversity in outcome parameters, more high standard research is necessary to establish a clear advice for clinical practice.

show abstract

Section: Introductionmentioning

confidence: 99%