Chronic Pelvic Pain due to Pelvic Congestion Syndrome: The Role of Diagnostic and Interventional Radiology

In: CardioVascular and Interventional Radiology · 2007 · vol. 30(6) , pp. 1105–1111 · doi:10.1007/s00270-007-9160-0 · PMID:17805925 · W2053297748
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AI-generated summary by claude@2026-06+body, 2026-06-08

This paper reviews the clinical manifestations and the role of diagnostic and interventional radiology in managing pelvic congestion syndrome, a cause of chronic pelvic pain due to ovarian vein incompetence.

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This paper reviews chronic pelvic pain attributable to pelvic congestion syndrome, describing its clinical manifestations and summarizing the roles of diagnostic and interventional radiology in its management. It frames pelvic congestion syndrome as due to ovarian vein incompetence and cites imaging approaches used to identify pelvic venous pathology and guide endovascular interventions, such as ultrasound/CT/MRI and venography, alongside reports of outcomes after ovarian or internal iliac vein embolotherapy. A key limitation is that the condition is described as likely underdiagnosed and the paper is a brief review rather than a primary study with uniform diagnostic criteria. Relevance to endometriosis: the paper’s subject is pelvic congestion syndrome as a cause of chronic pelvic pain, with no explicit endometriosis/adenomyosis mechanism or patient cohort discussed in the provided text.

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Abstract

Chronic pelvic pain (CPP) is a common cause of gynecologic referral. Pelvic congestion syndrome, which is said to occurs due to ovarian vein incompetence, is a recognized cause of CPP. The aim of this paper is to briefly describe the clinical manifestations, and to review the role of diagnostic and interventional radiology in the management of this probably under-diagnosed condition. Similar content being viewed by others

References

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