Laparoscopic surgery in a case of pelvic congestion syndrome presenting with chronic pelvic pain.

Manami Sakurai, Michinori Mayama, Hideaki Kodate, Rieko Tanaka, Maki Kanno, Eiji Nomura
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2018 · vol. 34(2) , pp. 276–281 · doi:10.5180/jsgoe.34.2_276 · W4317923904
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This paper describes a case of pelvic congestion syndrome presenting with chronic pelvic pain that was successfully treated with laparoscopic surgery.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This is a 2018 single-case report describing a 30-year-old primigravida woman with chronic pelvic pain attributed to pelvic congestion syndrome (PCS) after imaging suggested left ovarian vascular congestion and no uterine or ovarian structural disease. The authors performed laparoscopic resection of the pelvic peritoneum, after which the patient’s pelvic pain markedly disappeared. They interpret the pain relief as resulting from resection of sensory afferent nerves involved in visceral pain, and state that the approach provided relief regardless of the underlying cause of pelvic pain. Relevance to endometriosis: endometriosis is cited in the introduction as one of several gynecologic factors responsible for chronic pelvic pain, though the paper’s main topic is laparoscopic treatment for PCS in a case report rather than endometriosis or adenomyosis.

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Abstract

Introduction: Chronic pelvic pain affects about 10-40% of women presenting to a physician. The gynecological factors responsible for chronic pelvic pain include endometriosis, pelvic congestion syndrome (PCS), ovarian tumors. We experienced a case of PCS who had a complaint of chronic pelvic pain which was relieved after laparoscopic surgery.
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Introduction

Chronic pelvic pain affects about 10-40% of women presenting to a physician. The gynecological factors responsible for chronic pelvic pain include endometriosis, pelvic congestion syndrome (PCS), ovarian tumors. We experienced a case of PCS who had a complaint of chronic pelvic pain which was relieved after laparoscopic surgery. Case: A 30-year-old primigravida woman complained of sudden onset of lower abdominal pain and low back pain. Imaging studies did not reveal any organic disease of uterus or ovaries, however, it was suggestive of left ovarian vascular congestion. Therefore, it was inferred that PCS was the cause of chronic pelvic pain. A laparoscopic resection of pelvic peritoneum was performed which resulted in remarkable disappearance of pelvic pain.

Conclusion

Resection of the pelvic peritoneum is considered to provide pain relief through resection of sensory afferent nerves that cause visceral pain, and it effectively provides pain relief regardless of the cause of pelvic pain. © 2018 日本産科婦人科内視鏡学会

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Condition tags

endometriosischronic_pelvic_pain

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