Diagnosis of Pelvic Congestion Syndrome Using Transabdominal and Transvaginal Sonography

Park, Seong Jin; Lim, Joo Won; Ko, Young Tae; Lee, Dong Hoon; Yoon, Yup; Oh, Joo Hyoung; Lee, Hae Kyung; Huh, Chu Yeop

doi:10.2214/ajr.182.3.1820683

Cited by 237 publications

(242 citation statements)

References 8 publications

Supporting

Mentioning

215

Contrasting

Unclassified

Order By: Relevance

“…In our study, the mean age of PVC incidence in women was 35 years and it was found to be similar to that in the literature (7). In women, the youngest patient detected with PVC was aged 22 years and para 2.…”

Section: Discussionsupporting

confidence: 90%

“…Alternatively, venous varicosity does not always lead to chronic pelvic pain (7). While Park et al (7) found that the left ovarian vein diameter was >5 mm in 28 (90.3%) of 31 patients in case-control studies, they found it to be >5 mm in 16 (45%) patients in the control group of 35 patients. However, they detected varicosity only in four of these 16 healthy patients.…”

Section: Discussionmentioning

confidence: 91%

“…The reason for choosing patients who underwent pelvic and sacroiliac joint MRI examinations in this study was to evaluate the parauterine area in detail using an FOV in these patients with similar complaints. In the literature, the incidence of pelvic varices has been reported as 10% in all women, and PVC has been reported to develop in 50% of these patients (7,9). Alternatively, venous varicosity does not always lead to chronic pelvic pain (7).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Pelvic Venous Congestion in the Differential Diagnosis of Chronic Pelvic Pain

Ekin¹,

Yıldız²

2017

JAREM

View full text Add to dashboard Cite

Objective: To investigate the frequency of pelvic venous congestion (PVC) in patients with chronic pelvic pain.Methods: In this retrospective study, 171 consecutive patients who underwent sacroiliac magnetic resonance imaging (MRI) or hip MRI for chronic pelvic pain were evaluated in terms of PVC. The presence of parauterine and/or periprostatic varicose veins with diameters of ≥6 mm was accepted as PVC. The two-tailed significance level was adjusted to p<0.05.Results: Of 171 patients, PVC was found in 45 (26.3%). The frequency of PVC was estimated to be 31.8% in women and 16.4% in men. PVC is more common in women than in men (p=0.044; chi-square test). The median age was 35 (19-63) years in patients with PVC.Conclusion: PVC is a frequent pathology that is detected inwomen and men. PVC should always be considered in the differential diagnosis of chronic pelvic pain.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pelvic Venous Congestion in the Differential Diagnosis of Chronic Pelvic Pain

Ekin¹,

Yıldız²

2017

JAREM

View full text Add to dashboard Cite

show abstract

“…Suffice it to say that with modern ultrasound systems, direct assessment of the ovarian and internal iliac veins can be made very effectively in the vast majority of patients. Where suspicion of pelvic venous incompetence exists on clinical grounds or on the basis of the findings in the lower extremity veins, pelvic vein assessment incorporating transabdominal survey of the ovarian and internal iliac vein should be performed 22 , 23 .…”

Section: Pelvic and Ovarian Veinsmentioning

confidence: 99%

Duplex ultrasound in the assessment of lower extremity venous insufficiency

Nečas

2010

Australas J Ultrason Med

View full text Add to dashboard Cite

“…Pelvic US (transabdominal or transvaginal) is often the first-line examination (10,11). With CT, the tubular structure of dilated ovarian veins and the pattern of their enhancement after intravenous administration of contrast medium allow the investigator to distinguish them from adnexal masses or lymphadenopathy (12,13).…”

Section: Discussionmentioning

confidence: 99%

Pregnancy after embolization of ovarian varicocele: report of two cases

Таразов

Prozorovskij²,

Rumiantseva³

2009

Diagn Interv Radiol

View full text Add to dashboard Cite

Ovarian varicocele is a well-known cause of pelvic pain in women (1-3). Surgical or laparoscopic ligation, or retrograde transcatheter embolization is successfully used for treatment of symptomatic cases (l-6).In 1991, Galkin et al. (7) hypothesized that long-lasting ovarian varicocele might cause hypofunction of the ovaries and, similar to testicular varicocele, could be a cause of infertility. This hypothesis is not yet proven in the medical literature. We report two cases of pregnancy in women with infertility after successful transcatheter embolization of ovarian varices. Case reports Case 1A 43-year-old woman presented with chronic pelvic pain of three years duration. Her pain increased after physical activity and during menses. She had given birth to a full-term baby 20 years prior to presentation. She has not become pregnant since that time, despite a lack of contraception during the last 7 years. Repeated gynecologic examinations including hysterosalpingography did not reveal any source of pelvic pain. No disorder of hormonal milieu was noted on endocrine evaluation.Abdominal ultrasound did not reveal any gynecologic pathology such as leiomyoma, adenomyosis, or endometriosis, but it showed marked dilatation of veins around the left ovary. The diameter of the left ovarian vein trunk was 12 mm.The presence of left ovarian varicocele was confirmed by selective retrograde venography. The right transjugular approach was used, because the patient had several large moles on both groins. A Headhunter 1 catheter (Cordis, Bridgewater, New Jersey, USA) was placed in the left renal vein, and then in the left ovarian vein. Embolization of the dilated left ovarian vein was performed with three long and four short homemade steel coils 10-12 mm in diameter (Fig. 1). The right ovarian vein was not dilated.During the next month, the patient had significant reduction of pelvic pain, which eventually disappeared completely. Ultrasound (US) examination showed occlusion and fibrosis of the left ovarian vein, and disappearance of pelvic varices. Three months after the procedure, the patient became pregnant. The pregnancy was normal, and resulted in an easy delivery. Case 2A 25-year-old woman was referred to our hospital with a 4-year history of infertility. She had never been pregnant. She complained of periodic mild pelvic pain and dysmenorrhea. Her symptoms were aggravated by standing for a long time, and they increased during sexual activity. No pathological changes were observed on gynecologic examination or en- ABSTRACT We describe two cases of left-sided ovarian varicocele in patients with infertility. Pregnancy occurred in both women after successful retrograde venous embolization. Ovarian varicocele may be associated with infertility in some patients. INTERVENTIONAL RADIOLOGY

show abstract

Diagnosis of Pelvic Congestion Syndrome Using Transabdominal and Transvaginal Sonography

Cited by 237 publications

References 8 publications

Pelvic Venous Congestion in the Differential Diagnosis of Chronic Pelvic Pain

Pelvic Venous Congestion in the Differential Diagnosis of Chronic Pelvic Pain

Duplex ultrasound in the assessment of lower extremity venous insufficiency

Pregnancy after embolization of ovarian varicocele: report of two cases

Contact Info

Product

Resources

About