Pelvic congestion syndrome

Pelvic congestion syndrome DOI: https://doi.org/10.3329/mediscope.v1i1.21635Keywords: Pelvic congestion syndrome, ovarian vein embolisation, pelvic varicosities, total abdominal hysterectomyAbstract Chronic pelvic pain is a common gynecological problem with many causes and may account for approximately 10% outpatient gynecological visit. Pelvic Congestion Syndrome (PCS) is defined as a condition characterized by congestion of the pelvic veins visible on selective ovarian venography in multiparous premenopausal women with a history of chronic pelvic pain for more than six months. We report a case of PCS in 35 years old multiparous lady complaining of chronic pelvic pain for one year. The pain was worsened by sitting and standing position. Other general symptoms were present such as dysmenorrhea, rectal discomfort and urinary frequency. On examination patient was depressed, there was abdominal and pelvic tenderness. Pelvic ultrasound and Doppler examination showed dilated and tortuous ovarian veins and dilated tortuous arcuate veins in the myometrium. An ovarian cyst was present and uterus was enlarged. In this case total abdominal hysterectomy was done although ideal treatment for PCS is ovarian vein embolisation by interventional radiology which is not available in our country. DOI: http://dx.doi.org/10.3329/mediscope.v1i1.21635 Mediscope Vol. 1, No. 1: 2014, Pages 33-35 Downloads 343 279 Downloads Published How to Cite Issue Section License Authors who publish in the Mediscope agree to the following terms that: - Authors retain copyright and grant Mediscope the right of first publication of the work. Articles in Mediscope are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0. This license permits use, distribution and reproduction in any medium, provided the original work is properly cited. - Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal. - Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.