Pelvic Venous Congestion

Pelvic congestion is a diagnosis now infrequently made by gynecologists as a cause of chronic pelvic pain. Recent literature has been almost exclusively from radiological practice and does not always relate the diagnosis to pain. In this context the concept of pelvic congestion is reviewed from an historical perspective, clinical correlates identified, the pathophysiology discussed, and the place of this diagnosis in modern practice considered. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

Baird DT, Fraser IS (1975) Concentrations of oestrone and oestradiol in follicular fluid and ovarian venous blood of women. Clin Endocrinol 4:259–266 Beard RW, Highman JH, Pearce S, Reginald PW (1984) Diagnosis of pelvic varicosities in women with chronic pelvic pain. Lancet ii:946–949 Beard RW, Reginald PW, Wadsworth J (1988) Clinical features of women with chronic lower abdominal pain and pelvic congestion. Br J Obstet Gynaecol 95:153–161 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(3):625–627 Campbell D, Halligan S, Bartram CI, Rogers V, Hollings N, Kingston K et al (2003) Transvaginal power doppler ultrasound in pelvic congestion - A prospective comparison with transuterine venography. Acta Radiol 44(3):269–274 Capasso P, Simons C, Trotteur G, Dondelinger RF, Henroteaux D, Gaspard U (1997) Treatment of symptomatic pelvic varices by ovarian vein embolization. Cardiovasc Interv Radiol 20(2):107–111 Farquhar CM, Rogers V, Franks S, Pearce S, Wadsworth J, Beard RW (1989) A randomized controlled trial of medroxyprogesterone acetate and psychotherapy for the treatment of pelvic congestion. Br J Obstet Gynaecol 96:1153–1162 Gilling-Smith C, Mason H, Willis D, Franks S, Beard RW (2000) In vitro ovarian steroidogenesis in women with pelvic congestion. Hum Reprod 15(12):2570–2576 Hobbs JT (1976) The pelvic congestion syndrome. Practitioner 216:529–540 Lepage PA, Villavicencio JL, Gomez ER, Sheridan MN, Rich NM (1991) The valvular anatomy of the iliac venous system and its clinical implications. J Vasc Surg 14(5):678–683 Maleux G, Stockx L, Wilms G, Marchal G (2000) Ovarian vein embolization for the treatment of pelvic congestion syndrome: long-term technical and clinical results. J Vasc Interv Radiol 11(7):859–864 Reginald PW, Beard RW, Kooner JS, Mathias CJ, Samarage SU, Sutherland IA et al (1987) Intravenous dihydroergotamine to relieve pelvic congestion with pain in young women. Lancet ii:352–353 Savader SJ, Otero RR, Savader BL (1988) Puerperal ovarian vein thrombosis: evaluation with CT, US, and MR imaging. Radiology 167:637–639 Shokeir T, Amr M, Abdelshaheed M (2009) The efficacy of Implanon for the treatment of chronic pelvic pain associated with pelvic congestion: 1-year randomized controlled pilot study. Arch Gynecol Obstet 280(3):437–443 Soysal ME, Soysal S, Vicdan K, Ozer S (2001) A randomized controlled trial of goserelin and medroxyprogesterone acetate in the treatment of pelvic congestion. Hum Reprod 16(5):931–939 Stones RW (2000) Chronic pelvic pain in women: new perspectives on pathophysiology and management. Reprod Med Rev 8:229–240 Stones RW, Rae T, Rogers V, Fry R, Beard RW (1990) Pelvic congestion in women: evaluation with transvaginal ultrasound and observation of venous pharmacology. Br J Radiol 63:710–711 Stones W, Cheong YC, Howard FM, Singh S (2005) Interventions for treating chronic pelvic pain in women. Cochrane Database of Syst Rev, Issue 2. Art. No.: CD000387. doi: 10.1002/14651858.CD000387 Takeuchi K, Mochizuki M, Kitagaki S (1996) Laparoscopic varicocele ligation for pelvic congestion syndrome. Int J Gynecol Obstet 55(2):177–178 Taylor HC (1949) Vascular congestion and hyperaemia: part 1. Physiologic basis and history of the concept. Am J Obstet Gynecol 57:211–230 Tu FF, Hahn D, Steege JF (2010) Pelvic congestion syndrome-associated pelvic pain: a systematic review of diagnosis and management. Obstet Gynecol Surv 65(5):332–340 van der Vleuten CJ, van Kempen JA, Schultze-Kool LJ (2012) Embolization to treat pelvic congestion syndrome and vulval varicose veins. Int J Gynaecol Obstet 118(3):227–230 Epub 2012 Jun 22 Venbrux AC, Chang AH, Kim HS, Montague BJ, Hebert JB, Arepally A et al (2002) Pelvic congestion syndrome (pelvic venous incompetence): impact of ovarian and internal iliac vein embolotherapy on menstrual cycle and chronic pelvic pain. J Vasc Interv Radiol 13(2):171–178 Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2014 Springer Berlin Heidelberg About this chapter Cite this chapter Stones, W. (2014). Pelvic Venous Congestion. In: Reidy, J., Hacking, N., McLucas, B. (eds) Radiological Interventions in Obstetrics and Gynaecology. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2014_1010 Download citation DOI: https://doi.org/10.1007/174_2014_1010 Publisher Name: Springer, Berlin, Heidelberg Print ISBN: 978-3-642-27974-4 Online ISBN: 978-3-642-27975-1 eBook Packages: MedicineMedicine (R0)