Insuffisance veineuse pelvi-périnéale

In: Collection de la Société française d’imagerie cardiaque et vasculaire · 2012 · pp. 333–343 · doi:10.1007/978-2-287-99170-7_20 · W13003887
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Chronic pelvic pain, experienced by 10-40% of gynecology consultations, is a pain lasting over six months and is a frequent reason for diagnostic laparoscopy and hysterectomy.

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The paper/chapter addresses chronic pelvic pain, characterizing its prevalence in gynecologic practice and framing pelvic venous insufficiency (pelvic congestion/pelvi-perineal venous insufficiency) as an important, often overlooked cause. It reviews prior evidence on diagnosis of pelvic varicosities using imaging approaches such as transabdominal and transvaginal sonography, alongside earlier studies in women with chronic pelvic pain and ovarian varices. It also references endovascular/interventional radiology management—particularly embolotherapy—and notes that the discussion is grounded in reported standards and available literature rather than presenting new original outcomes. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Résumé Les algies pelviennes chroniques sont des douleurs abdominales basses et/ou pelviennes, non exclusivement cycliques, durant depuis plus de 6 mois. Elles représenteraient 10 à 40 % des motifs de consultations en gynécologie, un tiers des indications de coelioscopie diagnostique, 15 % des hystérectomies. Preview Unable to display preview. Download preview PDF. Références Belenky A, Bartal G, Atar E, Cohen M, Bachar GN (2002) Ovarian Varices in Healthy Female Kidney Donors: Incidence, Morbidity, and Clinical Outcome. Am J Roentgenol 179: 625–9 Kuligowska E, Deeds L 3rd, Lu K 3rd (2005) Pelvic pain: overlooked and underdiagnosed gynecologic conditions. Radiographics 25: 3–20 Beard RW, Highman JH, Pearce S, Reginald PW (1988) Diagnosis of pelvic varicosities in women with chronic pelvic pain. J Obstet Gynaecol 95: 153–61 Beard RW, Highman JH, Pearce S et al. (1984) Diagnosis of pelvic varicosities in women with chronic pelvic pain. Lancet 2: 946–9 Park S, Lim J, Ko Y et al. (2004) Diagnosis of pelvic congestion syndrome using Transabdominal and Transvaginal Sonography. Am J Roentgenol 182: 683–8 Kennedy A, Hemingway A (1990) Radiology of ovarian varices. Br J Hosp Med. 44(1): 38–43 Nicholson T, Basile A (2006) Pelvic congestion syndrome: who should we treat and how? Tech Vasc Interv Radiol 9: 19–23 Ganeshan A et al. (2007) Chronic pelvic pain due to pelvic congestion syndrome: the role of diagnostic and interventional radiology. Cardiovasc Intervent Radiol. 30(6): 1105–11 Venbrux AC, Chang AH et al. (2002) Pelvic congestion syndrome (pelvic venous incompetence): impact of vascular and interventional radiology. J Vasc Interv Radiol 13: 171–8 Kim HS, Malhotra AD, Rowe PC, Lee JM, Venbrux AC (2006) Embolotherapy for Pelvic Congestion Syndrome: Long-term Results. J Vasc Interv Radiol 17: 289–97 Lasry JL (2007) Pelvi-perineal venous insufficiency and varicose veins of the lower limbs and endoluminal treatment in thirty females. J Mal Vasc 32: 23 Pour en Savoir Plus Nicholson T, Basile A (2006) Pelvic congestion syndrome: who should we treat and how? Tech Vasc Interv Radiol 9: 19–23 Ganeshan A et al. (2007) Chronic pelvic pain due to pelvic congestion syndrome: the role of diagnostic and interventional radiology. Cardiovasc Intervent Radial. 30(6): 1105–11 Venbrux AC, Chang AH et al. (2002) Pelvic congestion syndrome (pelvic venous incompetence): impact of vascular and interventional radiology. J Vasc Interv Radiol 13: 171–8 Kim HS, Malhotra AD, Rowe PC, Lee JM, Venbrux AC (2006) Embolotherapy for Pelvic Congestion Syndrome: Long-term Results. J Vasc Interv Radiol 17: 289–97 Lasry JL (2007) Pelvi-perineal venous insufficiency and varicose veins of the lower limbs and endoluminal treatment in thirty females. J Mal Vasc 32: 23 Black CM, Thorpe K, Venbrux A et al. (2010) Research reporting standards for endovascular treatment of pelvic venous insufficiency. J Vasc Interv Radiol 21: 796–803 Author information Authors and Affiliations Rights and permissions Copyright information © 2012 Springer-Verlag France About this chapter Cite this chapter Boyer, L., Maubon, A., Ravel, A., Gageanu, C., Diop, A.N., Chabrot, P. (2012). Insuffisance veineuse pelvi-périnéale. In: Embolisation. Collection de la Société française d’imagerie cardiaque et vasculaire. Springer, Paris. https://doi.org/10.1007/978-2-287-99170-7_20 Download citation DOI: https://doi.org/10.1007/978-2-287-99170-7_20 Publisher Name: Springer, Paris Print ISBN: 978-2-287-99169-1 Online ISBN: 978-2-287-99170-7

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