Transvaginal Ultrasound Examination of Women With and Without Pelvic Venous Congestion

Steve Halligan, Deidre Campbell, Clive I. Bartram, V. Rogers, CADRIA EL-HADDAD, Sujata Patel, R. W. Beard
In: Clinical Radiology · 2000 · vol. 55(12) , pp. 954–958 · doi:10.1053/crad.2000.0602 · PMID:11124075 · W1969937292
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This paper reports on transvaginal ultrasound examinations performed on women diagnosed with pelvic venous congestion and on a control group of women without the condition.

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Abstract

AimTo determine if transvaginal ultrasound, including power Doppler examination, can distinguish between women with and without pelvic congestion.Materials and methodsThirty-six women with pelvic congestion were prospectively examined using transvaginal ultrasonography and standard uterine and ovarian measurements made. Additionally, planimetric measurements of each ovary were taken using an image analysis program to determine the cross-sectional area of ovarian stroma and follicles, if any. Power Doppler images of adnexal vessels were obtained and planimetric estimates of surface area calculated. A congestion score was assigned to each patient, based on vein number, diameter and morphology on grey-scale scanning. Identical measurements were obtained from 19 asymptomatic women and results compared.ResultsThere was no significant difference between women with pelvic congestion and controls with respect to power Doppler or grey-scale images of adnexal vessels, or congestion score. However, women with pelvic congestion had significantly larger and multicystic ovaries when compared to controls.ConclusionsTransvaginal ultrasound measurements of adnexal vasculature, including power Doppler measurements, cannot reliably distinguish women with pelvic congestion from controls. However, ultrasound may remain useful for diagnosis of pelvic congestion, predominantly because it is able to visualize multi-cystic ovaries in these patients.

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