Pelvic Venography

Silverberg, Philip W.; Slowinski, Eugene J.; Melnick, Gilbert S.

doi:10.1148/107.3.523

Cited by 3 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This procedure, no longer used in common practice, involved the direct injection of contrast medium into the fundal myometrium (Guilhem 1954 ; Kauppila et al 1971 ; Silverberg et al 1973 ). The procedure was reported as being well tolerated by the women examined (Kennedy and Hemingway 1990 ; Beard et al 1984 ).…”

Section: Managementmentioning

confidence: 99%

Pelvic venous congestion syndrome: female venous congestive syndromes and endovascular treatment options

et al. 2023

View full text Add to dashboard Cite

Pelvic venous congestion syndrome (PVCS) is a common, but underdiagnosed, cause of chronic pelvic pain (CPP) in women.PVCS occurs usually, but not exclusively, in multiparous women. It is characterized by chronic pelvic pain of more than six months duration with no evidence of inflammatory disease.The patients present to general practitioners, gynaecologists, vascular specialists, pain specialists, gastroenterologists and psychiatrists. Pain of variable intensity occurs at any time but is worse in the pre-menstrual period, and is exacerbated by walking, standing, and fatigue. Post coital ache, dysmenorrhea, dyspareunia, bladder irritability and rectal discomfort are also common. Under-diagnosis of this condition can lead to anxiety and depression.A multidisciplinary approach in the investigation and management of these women is vital.Non-invasive imaging (US, CT, MRI) are essential in the diagnosis and exclusion of other conditions that cause CPP as well in the definitive diagnosis of PVCS. Trans-catheter venography remains the gold standard modality for the definitive diagnosis and is undertaken as an immediate precursor to ovarian vein embolization (OVE). Conservative, medical and surgical management strategies have been reported but have been superseded by OVE, which has a reported technical success rates of 96–100%, low complication rates and long-term symptomatic relief in between 70–90% of cases.The condition, described in this paper as PVCS, is referred to by a wide variety of other terms in the literature, a cause of confusion.There is a significant body of literature describing the syndrome and the excellent outcomes following OVE however the lack of prospective, multicentre randomized controlled trials for both investigation and management of PVCS is a significant barrier to the complete acceptance of both the existence, investigation and management of the condition.

show abstract

Section: Managementmentioning

confidence: 99%

Pelvic venous congestion syndrome: female venous congestive syndromes and endovascular treatment options

et al. 2023

View full text Add to dashboard Cite

show abstract

Ultrasound appearance of a pelvic arteriovenous malformation

Torres

Sones

Thames

1979

J of Clinical Ultrasound

View full text Add to dashboard Cite

The diagnosis of pelvic arteriovenous malformations (AVM) is suggested by careful clinical examination. A history of previous trauma, including surgery, is helpful in establishing the etiology. Angiography results in definitive diagnosis in these patients. This case will indicate the role of ultrasound in helping to establish the diagnosis and follow the progress of pelvic AVM. CASE REPORTA 44-year-old woman presented in 1975 with dyspnea on exertion, lower abdominal pain, and fatigue. No history of pelvic trauma or surgery was elicited. The diagnosis of pelvic AVM was considered. A femoral arteriogram showed bilatera1 multiple arteriovenous communications in the pelvic vasculature. She underwent a total abdominal hysterectomy, bilateral hypogastric artery ligations, and division of all branches of the hypogastric artery in an attempt to control the lesion.She was admitted to Emory University Hospital in December 1976 because of partial obstruction of the vesical neck. A gynecologic examination showed large pulsatile masses a t both the right and left vaginal walls.An intravenous pyelogram and cystogram revealed slightly irregular bladder margins with increased soft-tissue densities in the pelvis surrounding the filled bladder.An ultrasound examination performed on the same day showed multiple serpiginous sonolucent structures within the pelvis, with slight bladder compression. &nographical]y these structures have a consistent with vessels (Figs. lA, 1B).

show abstract

Ureteric pathology in relation to right and left gonadal veins

Coolsaet

1978

Urology

View full text Add to dashboard Cite

Pelvic Venography

Cited by 3 publications

References 0 publications

Pelvic venous congestion syndrome: female venous congestive syndromes and endovascular treatment options

Pelvic venous congestion syndrome: female venous congestive syndromes and endovascular treatment options

Ultrasound appearance of a pelvic arteriovenous malformation

Ureteric pathology in relation to right and left gonadal veins

Contact Info

Product

Resources

About