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Case Reports
. 2021 Sep 21;32(4):299-302.
doi: 10.1055/s-0041-1731272. eCollection 2023 Dec.

Successful Ovarian Vein Embolization of a Multiparous Woman with Pelvic Congestion Syndrome

Rissa U Setiani  1 , Edwin A D Batubara  1 , Suko Adiarto  1 , Taofan Siddiq  1 , Suci Indriani  1 , Irwan H Siahaan  2
Affiliations
Case Reports

Successful Ovarian Vein Embolization of a Multiparous Woman with Pelvic Congestion Syndrome

Rissa U Setiani et al. Int J Angiol. .

Abstract

Pelvic congestion syndrome (PCS) is a clinical syndrome supported by specific findings, such as ovarian vein's dilatation, that cause pelvic vein congestion. Although many theories are explaining the pathophysiologies of this condition, the underlying cause remains unknown. The clinical manifestations of PCS are various including chronic pelvic pain (CPP), voiding disturbances, or ureteral obstruction. Imaging modality, such as ultrasonography, computed tomography (CT scan), magnetic resonance imaging (MRI), and venography, are needed to confirm and exclude the differential diagnosis. Currently, American venous forum guidelines recommended endovascular therapy which is percutaneous embolization as the first option therapy of PCS. Here, we reported a 35-year-old woman with PCS who underwent successful percutaneous embolization therapy.

Keywords: chronic pelvic pain; multiparous woman; pelvic congestion syndrome; percutaneous embolization; venography.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Venography confirmed left ovarian vein dilatation.
Fig. 2
Fig. 2
Left ovarian vein after embolization.
Fig. 3
Fig. 3
Anatomy of pelvic venous. 1: right renal vein; 2: left renal vein; 3: right kidney; 4: left kidney; 5: inferior vena cava; 6: right ovarian vein; 7: left ovarian vein; 8: right common iliac vein; 9: left common iliac vein; 10: uterus; 11: right internal iliac vein; 12: fallopian tube; 13: ovarian vein plexus; 14: external iliac vein; 15: ovary; and 16: uterine vein.
See this image and copyright information in PMC

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