Int J Angiol 2023; 32(04): 299-302
DOI: 10.1055/s-0041-1731272
Case Report

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

1   Department of Cardiology and Vascular Medicine, National Cardiovascular Centre Harapan Kita, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
,
Edwin A. D. Batubara
1   Department of Cardiology and Vascular Medicine, National Cardiovascular Centre Harapan Kita, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
,
1   Department of Cardiology and Vascular Medicine, National Cardiovascular Centre Harapan Kita, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
,
1   Department of Cardiology and Vascular Medicine, National Cardiovascular Centre Harapan Kita, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
,
1   Department of Cardiology and Vascular Medicine, National Cardiovascular Centre Harapan Kita, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia
,
Irwan H. Siahaan
2   Department of Cardiology and Vascular Medicine, Persahabatan Public Hospital, Jakarta, Indonesia
› Author Affiliations

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.



Publication History

Article published online:
21 September 2021

© 2021. International College of Angiology. This article is published by Thieme.

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  • References

  • 1 Cura M, Cura A. What is the significance of ovarian vein reflux detected by computed tomography in patients with pelvic pain?. Clin Imaging 2009; 33 (04) 306-310
  • 2 Durham JD, Machan L. Pelvic congestion syndrome. Semin Intervent Radiol 2013; 30 (04) 372-380
  • 3 Gutvirtz G, Imterat M, Weintraub YA. Pelvic congestion syndrome: a current review. Pelviperineology 2018; 37: 14-16
  • 4 S.J. Park, J.W. Lim, Y.T. Ko, D.H. Lee, Y. Yoon, J.H. Oh, et al. Diagnosis of pelvic congestion syndrome using transabdominal and transvaginal sonography AJR Am J Roentgenol, 182 (3) (2004 Mar), pp. 683-688
  • 5 Phillips D, Deipolyi AR, Hesketh RL, Midia M, Oklu R. Pelvic congestion syndrome: etiology of pain, diagnosis, and clinical management. J Vasc Interv Radiol 2014; 25 (05) 725-733
  • 6 Wang R, Yan Y, Zhan S. et al. Diagnosis of ovarian vein syndrome (OVS) by computed tomography (CT) imaging: a retrospective study of 11 cases. Medicine (Baltimore) 2014; 93 (07) e53
  • 7 Gloviczki P, Comerota AJ, Dalsing MC. et al; Society for Vascular Surgery, American Venous Forum. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2011; 53 (5, suppl): 2S-48S
  • 8 Picel CA, Roberts CA. Endovascular treatment of pelvic congestion syndrome. Endovascular Today 2018; 17 (04) 58-62
  • 9 O'Brien MT, Gillespie DL. Diagnosis and treatment of the pelvic congestion syndrome. J Vasc Surg Venous Lymphat Disord 2015; 3 (01) 96-106
  • 10 Hansrani V, Abbas A, Bhandari S, Caress AL, Seif M, McCollum CN. Trans-venous occlusion of incompetent pelvic veins for chronic pelvic pain in women: a systematic review. Eur J Obstet Gynecol Reprod Biol 2015; 185: 156-163