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pelvic varices

Eberhard Rabe, Felizitas Pannier
No abstract text is available yet for this article.
September 2016: Phlebology
Osman Mahmoud, Pirkka Vikatmaa, Pekka Aho, Karoliina Halmesmäki, Anders Albäck, Päivi Rahkola-Soisalo, Kimmo Lappalainen, Maarit Venermo
BACKGROUND: Chronic pelvic pain is not a rare health problem among women. One of the most common causes of chronic pelvic pain is pelvic congestion syndrome (PCS). We have reviewed all medical literature on the endovascular treatment of PCS and hereby provide a brief overview of the anatomy, pathophysiology, and clinical aspects of ovarian and pelvic varices. We describe the technique of transcatheter embolization, the complications thereof and the clinical results of the treatment. METHODS: A literature search was performed using PubMed, Science Direct, Google Scholar, and Scopus to identify case series on the endovascular treatment of PCS up until the end of November 2014...
July 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Slawomir Wozniak
INTRODUCTION: Chronic pelvic pain (CPP) affects about 10-40% of women presenting to a physician, and is characterised by pain within the minor pelvis persisting for over 6 months. MATERIALS AND METHOD: The Medline database was searched using the key words 'chronic pelvic pain' and 'pelvic congestion syndrome', published in English during the past 15 years. The condition markedly deteriorates the quality of life of the affected. Its aetiology has not been fully described and elucidated, although organic, functional and psychosomatic factors are implicated...
June 2, 2016: Annals of Agricultural and Environmental Medicine: AAEM
Yurii T Tsukanov, Anton Y Tsukanov, Evgenii G Levdanskiy
The aim of this study was to examine secondary varicose small pelvic veins (VSPV) and their treatment with micronized purified flavonoid fraction (MPFF). We examined 70 patients with a history of acute iliac thrombosis of > 1 year. Patients with urination difficulties associated with other symptoms (n = 24) received MPFF 1,000 mg once daily for 1 month. Clinical manifestations were assessed by collecting complaints and analyzing results of physician examinations. VSPV was identified in 48 (68.6%) patients, the majority (58%) had grade 2 (7...
June 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
Rossella D'Amato, Juan Marco Figueira Gonçalves, Juan Manuel Palmero Tejera
No abstract text is available yet for this article.
May 3, 2016: Archivos de Bronconeumología
Mark Whiteley
No abstract text is available yet for this article.
September 2016: Phlebology
Ertan Yetkin, Mehmet Ileri
Venous disease is a common but overlooked clinical problem and is an important mortality and morbidity factor depending on the effected vascular territory. Different contributing factors play role on the clinical manifestation of the disease. Peripheral varices of lower extremities, hemorrhoids, varicoceles, pelvic varicose veins are the vasculopathy of veins running toward heart but against gravity. We hypothesize that all these clinical entities share common pathophysiologic steps in terms of vascular wall remodeling and vessel wall damage...
June 2016: Medical Hypotheses
V Juhan
Chronic pelvic pain is defined as disabling pain of at least six months duration. Chronic pelvic pain has often multiple causative factors. Careful analysis of clinical history and detailed clinical examination must be carried out to guide further imaging investigations. Endometriosis is a common cause of chronic pelvic pain, although there is no correlation between the severity of lesions and pain intensity. Pelvic ultrasonography should be the first line imaging examination to search for causative conditions that include endometriosis, adenomyosis, pelvic varices and chronic infection...
October 2015: Diagnostic and Interventional Imaging
Chiara Borghi, Lucio Dell'Atti
PURPOSE: Pelvic congestion syndrome is an uncommon poorly understood and frequently misdiagnosed disorder of the pelvic venous circulation, which causes chronic pelvic pain in women in premenopausal age. This condition has typical features, such as pelvic varicosities, pelvic pain worsened by prolonged standing, coitus, menstruation, and pregnancy. METHODS: The precise etiology of this syndrome remains uncertain, and it is probably multifactorial. Valvular insufficiency, venous obstruction, and hormones all may play a role in the development of congestion of the pelvic veins...
February 2016: Archives of Gynecology and Obstetrics
D Janák, T Grus, S Heller, J Kudlička, V Rohn
We report a successful surgical and endovascular procedure in a patient with increasing chronic varicose veins resulting from a chronic post-traumatic closure of the left pelvic vein. The endovascular intervention involves an effective and fast part of the procedure dealing with the primary cause of the patients pathology with subsequent surgical treatment, which radically eliminates the secondary developing pathology of massive prepubic and convoluted varicose veins in limbs.
August 2015: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Peter Gavorník, Karol Holomáň, Ľudovít Gašpar, Andrej Dukát, Andrea Komorníková, Emil Gavorník
Pelvic congestion syndrome: chronic symptoms, which may include pelvic pain, perineal heaviness, urgency of micturition, and post-coital pain, caused by ovarian and/or pelvic vein reflux and/or obstruction, and which may be associated with vulvar, perineal, and/or lower extremity varices. The VEIN-TERM consensus document was developed by a transatlantic interdisciplinary faculty of experts under the auspices of the American Venous Forum (AVF), the European Venous Forum (EVF), the International Union of Phlebology (IUP), the American College of Phlebology (ACP), and the International Union of Angiology (IUA)...
March 2015: Vnitr̆ní Lékar̆ství
Faouzi Mallat, Wissem Hmida, Mouna Ben Othmen, Faouzi Mosbah
The nutcracker syndrome (NCS) is rare and often misdiagnosed because it embraces an extended non-pathognomonic spectrum of symptoms that imply a difficult diagnosis. Ultimately it may be associated with substantial morbidity and even life-threatening events. Mixed NCS with renal vein duplication is an exceptional variety, have previously been reported to the best of our knowledge. We report a rare case of an 18-year-old boy who presented with a long history of abdominal, pelvic and left flank pain, fatigue and higher bilateral varicocele...
April 2015: Urology Annals
E Rabe, F Pannier
AIM: To consider if it is essential to perform embolization in the treatment of leg varices due to pelvic venous insufficiency. METHODS: Review of the current literature concerning treatment options of leg varicose veins of pelvic origin. RESULTS: Pelvic venous insufficiency, vulvar and pudendal varicose veins as well as pelvic congestive syndrome are under diagnosed entities. Embolization of ovarian and pelvic veins is well established in patients with pelvic congestive syndrome...
March 2015: Phlebology
M H Meissner, K Gibson
Chronic pelvic pain accounts for approximately 10% of outpatient gynecologic visits and among the varied causes, pelvic congestion syndrome is second only to endometriosis in frequency. Manifestations may include pelvic pain, dyspareunia, dysuria, and dysmenorrhea as well as external varices and a number of psychosocial symptoms. Although a variety of treatments have been proposed-including pharmacologic ovarian suppression, hysterectomy with or without oophorectomy, and ovarian vein resection-transcatheter embolization is the least invasive and most efficacious management option...
March 2015: Phlebology
Suat Eren
OBJECTIVE: To evaluate the efficacy of multi-detector row CT (MDCT) on pelvic congestion syndrome (PCS), which is often overlooked or poorly visualized with routine imaging examination. MATERIALS AND METHODS: We evaluated the MDCT features of 40 patients with PCS (mean age, 45 years; range, 29-60 years) using axial, coronal, sagittal, 3D volume-rendered, and Maximum Intensity Projection MIP images. RESULTS: MDCT revealed pelvic varices and ovarian vein dilatations in all patients...
December 2010: Eurasian Journal of Medicine
Wan-Yin Shi, Jian-Ping Gu, Wen-Sheng Lou, Guo-Ping Chen
BACKGROUND: In the study, we describe eight cases in which pelvic congestion syndrome (PCS) was a direct complication of abdominal aortic dissection (AD). METHODS: We recorded computed tomographic (CT) details of the AD and PCS. The patterns of pelvic varices and reflux were identified as well. RESULTS: All eight had abdominal AD (diameter, 23.44-33.98 mm). The compressed left renal vein revealed stenosis in situ (diameter, 1.17-2.69 mm). CT also revealed dilation of left ovarian vein with left pelvic varices in all cases...
May 2015: Clinical Imaging
Etsuko Kawata, Eiji Kondoh, Kaoru Kawasaki, Tsukasa Baba, Akihiko Ueda, Aki Kido, Ikuo Konishi
Extensively distended and tortuous vessels on both sides of the uterus are rare incidental findings on transvaginal sonography in early pregnancy. A 31-year-old woman with a history of surgical repair for congenital intestinal stenosis was noted to have utero-ovarian varices on a transvaginal ultrasound examination during her first prenatal visit at 6 weeks' gestation. Magnetic resonance imaging revealed dilated ovarian veins along with infrarenal absence of inferior vena cava as well as the absence of external and common iliac veins...
April 2015: Journal of Obstetrics and Gynaecology Research
Andrew G Winer, Nicholas H Chakiryan, Ryan P Mooney, Daniel Verges, Mazyar Ghanaat, Atabak Allaei, Luke Robinson, Harry Zinn, Erich K Lang
INTRODUCTION: Pelvic congestion syndrome (PCS) is a complex condition of the pelvic venous system leading to nonspecific pelvic pain that was initially described in females alone. The underlying abnormalities, though diverse, all result in increased pressure in the left gonadal vein which is transmitted retrograde into the pelvic venous system. Our primary aim was to describe our findings of secondary PCS as a distinct entity from primary PCS in that it has an identifiable vascular etiology and is gender nonspecific...
August 2014: Canadian Journal of Urology
Mikail Inal, Mihrace Yasemin Karadeniz Bilgili, Safa Sahin
Nutcracker syndrome (NCS) is a rare pathology, caused by compression of the left renal vein (LRV) between the abdominal aorta (AA) and the superior mesenteric artery (SMA), due to reduction of the angle between AA and SMA. This leads to LRV varices, left gonadal vein varices and therefore, the pelvic congestion syndrome. For this reason, coexistence of NCS and pelvic congestion syndrome has been described. It manifests by hematuria, proteinuria, and nonspecific pelvic pain secondary to pelvic congestion, dyspareunia and persistent genital arousal...
May 2014: Iranian Journal of Radiology: a Quarterly Journal Published By the Iranian Radiological Society
Muhammad I Aslam, Susannah M Flexer, Rodrego Figueiredo, Hamdy Y Ashour, Vish Bhattacharya
Varicose veins in the vulvar and peri-vulvar area are seen in 4% of women and most commonly seen during pregnancy. It is thought to be as a direct result of the presence of ovarian and pelvic varicosities. Diagnostic modalities used in the investigation of this condition included pelvic ultrasound, computed venography, magnetic resonance venography and catheter-directed venography. The treatment options in the past were hysterectomy and/or ligation of ovarian veins by open or laparoscopic approach. Modern techniques involve embolization of the varicosity via radiological techniques...
February 2014: Journal of Surgical Case Reports
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