Female "varicocele": two cases diagnosed by labeled red blood cell angioscintigraphy and treated by percutaneous phlebography and embolization.

Gasparini D, Geatti O, Orsolon PG, Shapiro B
Clinical nuclear medicine · 1998 · doi:10.1097/00003072-199807000-00004 · PMID:9676944
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This case report describes two women diagnosed with female varicocele, a rare condition involving varicosities of the salpingo-ovarian venous plexus. The authors utilized echo Doppler and technetium-99m labeled red blood cell scintigraphy to confirm the diagnosis in patients who lacked obvious clinical findings. Both cases were successfully treated using percutaneous phlebography and embolization to occlude the affected ovarian veins. The 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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Abstract

Varicocele, a varicosity of the gonadal venous plexus, is a well-recognized disorder occurring in up to 10% of men. In women, an analogous varicosity of the salpingo-ovarian plexus is rare. This may be explained, in part, by the lack of obvious findings on clinical examination in women compared with men and the need, until recently, to use invasive venographic methods to confirm the diagnosis. Two cases of "female varicocele" diagnosed by means of echo Doppler and Tc-99m red blood cell scintigraphy and their cure by percutaneous phlebographic occlusion of the ovarian venous varicosity are described.
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Original Articles Female "Varicocele": Two Cases Diagnosed by Labeled Red Blood Cell Angioscintigraphy and Treated by Percutaneous Phlebography and Embolization - DANIELE GASPARINI - ONELIO GEATTI - PIER GIUSEPPE ORSOLON - BRAHM SHAPIRO Clinical Nuclear Medicine 23(7):p 420-422, July 1998. Varicocele, a varicosity of the gonadal venous plexus, is a well-recognized disorder occurring in up to 10% of men. In women, an analogous varicosity of the salpingo-ovarian plexus is rare. This may be explained, in part, by the lack of obvious findings on clinical examination in women compared with men and the need, until recently, to use invasive venographic methods to confirm the diagnosis. Two cases of "female varicocele" diagnosed by means of echo Doppler and Tc-99m red blood cell scintigraphy and their cure by percutaneous phlebographic occlusion of the ovarian venous varicosity are described. Copyright © Lippincott-Raven Publishers

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