Pelvic Congestion Syndrome

Karçaaltıncaba, Muşturay; Karçaaltıncaba, Deniz; Dogra, Vikram S.

doi:10.1016/j.cult.2008.08.002

Cited by 7 publications

(9 citation statements)

References 50 publications

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“…Pelvic varices can be seen in 10% of women in the general population and up to 60% of patients with pelvic varices may develop pelvic congestion syndrome. Pelvic congestion syndrome occurs mostly because of ovarian vein reflux, but it can also occur because of the obstruction of ovarian vein outflow resulting in reversed flow ( 8 , 9 ).…”

Section: Discussionmentioning

confidence: 99%

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Nutcracker Syndrome Accompanying Pelvic Congestion Syndrome: Color Doppler Sonography and Multislice CT Findings: A Case Report

2014

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Nutcracker syndrome (NCS) is a rare pathology, caused by compression of the left renal vein (LRV) between the abdominal aorta (AA) and the superior mesenteric artery (SMA), due to reduction of the angle between AA and SMA. This leads to LRV varices, left gonadal vein varices and therefore, the pelvic congestion syndrome. For this reason, coexistence of NCS and pelvic congestion syndrome has been described. It manifests by hematuria, proteinuria, and nonspecific pelvic pain secondary to pelvic congestion, dyspareunia and persistent genital arousal. We report a 27-year-old woman who experienced hematuria and left flank pain. The diagnosis of NCS accompanied by pelvic congestion syndrome was missed initially, but later on the diagnosis was made by color Doppler ultrasound, abdominal computed tomography (CT) and CT angiography that were later performed. She refused interventional and surgical treatments, and was lost to follow up.

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Section: Discussionmentioning

confidence: 99%

“…Moreover, velocity encoded phase contrast MRI can be used to demonstrate ovarian vein velocity and flow direction. Selective ovarian venography has been accepted as the gold standard technique for the diagnosis of pelvic congestion syndrome ( 8 , 12 ).…”

Section: Discussionmentioning

confidence: 99%

Nutcracker Syndrome Accompanying Pelvic Congestion Syndrome: Color Doppler Sonography and Multislice CT Findings: A Case Report

2014

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“…The lack of specific clinical findings may lead to a lengthy differential including orthopedic, general surgical, urologic, and gynecologic disorders. 4 , 6 …”

Section: Discussionmentioning

confidence: 99%

“…The lack of specific clinical findings may lead to a lengthy differential including orthopedic, general surgical, urologic, and gynecologic disorders. 4,6 ConClusion Pelvic venous varices can cause pelvic pain in a noncompetitive athlete. 9 The prevalence of PCS in the general female population may be as high as 6%.…”

Section: Discussionmentioning

confidence: 99%

Case Report

et al. 2013

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Context:The past 2 decades have shown a dramatic increase in the number of pelvic and hip injuries in female athletes. Accurate diagnosis of hip pain in active women has proven to be a challenge, as there is an extensive differential including both musculoskeletal and visceral problems. While the incidence of pelvic congestion syndrome (PCS) is not known, this condition may manifest as chronic hip pain in this patient population.Evidence Acquisition:A PubMed search was undertaken for articles published in English from 1980 to 2012. Additional references were accrued from reference lists of research articles.Study Design:Case series.Level of Evidence:Level 3.Results:Diagnosis was established using magnetic resonance imaging. Both women were evaluated and treated by interventional radiology with gonadal vein embolization. Initial evaluation and subsequent follow-up was completed in the Sports Medicine Clinic to monitor chronic hip pain symptoms. Both patients experienced significant alleviation of chronic hip pain symptoms within several months after gonadal vein embolization, allowing for a return to the previous level of activity.Conclusion:Although PCS most commonly presents as pelvic pain, it is important to consider this condition in athletes with persistent hip pain. PCS may also present with the primary symptom of hip pain as in the 2 case reports described. With more awareness of this condition and appropriate diagnosis, PCS as an unusual etiology of chronic hip pain may be effectively treated with gonadal vein embolization.

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“…(12); el atrapamiento nervioso luego de cicatriz quirúrgica tipo Pfannenstiel se presenta en el 3,7% de los casos; y el 75% de las pacientes con DPC cursan con anormalidades muscoloesquéleticas (12). El síndrome de congestión venosa pélvica puede ser otra causa de dolor crónico; se presenta generalmente por reflujo de la vena ovárica y se ha reconocido que más del 60% de las personas con varices pélvicas pueden presentar este síndrome (17).…”

Section: Etiologíaunclassified

Dolor pélvico crónico en la mujer: más que una consulta ginecológica

Ospina¹

2018

Rev. Colomb. Enferm.

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El dolor pélvico crónico (DPC) es un problema de salud que impacta al individuo en la esfera biológica, social, psicológica y laboral (1, 2). Se puede definir como el dolor localizado en la pelvis anatómica, con una duración mayor o igual a seis meses, que se presenta de forma cíclica o acíclica. Puede requerir tratamiento médico o quirúrgico, y su severidad puede causar alteración en la funcionalidad (3). Es significativamente más común en mujeres. A pesar de ser un motivo de consulta frecuente, el DPC es un fenómeno que no está totalmente entendido (2), pero es claro su componente multifactorial y su diferencia con el dolor agudo. Su etiología es heterogénea; por tanto, al ser multifactorial, el DPC requiere un abordaje integral dentro de un modelo biopsicosocial con aproximación multidisciplinaria.

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Pelvic Congestion Syndrome

Cited by 7 publications

References 50 publications

Nutcracker Syndrome Accompanying Pelvic Congestion Syndrome: Color Doppler Sonography and Multislice CT Findings: A Case Report

Nutcracker Syndrome Accompanying Pelvic Congestion Syndrome: Color Doppler Sonography and Multislice CT Findings: A Case Report

Case Report

Dolor pélvico crónico en la mujer: más que una consulta ginecológica

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