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Congestive pelvic syndrome

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https://www.readbyqxmd.com/read/27799571/evaluation-of-sacroiliac-joint-mri-for-pelvic-venous-congestion-signs-in-women-clinically-suspected-of-sacroiliitis
#1
Canan Cimsit, Tevfik Yoldemir, Derya Tureli, Mustafa Erkin Aribal
BACKGROUND: Pelvic congestion syndrome (PCS) is a commonly overlooked condition which is a potential cause of chronic pelvic pain. Magnetic resonance imaging (MRI) of the sacroiliac joint (SIJ) may demonstrate unexpected conditions that can mimic sacroiliitis (SI). Awareness of MRI-defined pelvic venous congestion (PVC) may help in identifying PCS, where vascular abnormality may be the sole manifestation of SIJ pain. PURPOSE: To detect incidental MRI-defined PVC in patients who underwent SIJ-MRI for presumed SI and define the variance of its incidence...
October 31, 2016: Acta Radiologica
https://www.readbyqxmd.com/read/27799418/a-standardized-ultrasound-approach-to-pelvic-congestion-syndrome
#2
Nicos Labropoulos, Patrick T Jasinski, Demetri Adrahtas, Antonios P Gasparis, Mark H Meissner
Pelvic congestion syndrome is one of the many causes of chronic pelvic pain and is often diagnosed based on exclusion of other pathologies. Over the past decades, pelvic congestion syndrome was recognized to be a more common cause of chronic pelvic pain. Multiple diagnostic modalities including pelvic duplex ultrasonography, transvaginal ultrasonography, computed tomography, and magnetic resonance were studied. In the current literature, selective ovarian venography, an invasive imaging approach, is believed to be the gold standard for diagnosing pelvic congestion syndrome...
October 31, 2016: Phlebology
https://www.readbyqxmd.com/read/27757232/isolated-large-vulvar-varicose-veins-in-a-non-pregnant-woman
#3
Abdullah M Al Wahbi
Vulvar varicosities are often asymptomatic, and they may be associated with varicose veins of the lower extremity. Also, they may be a part of pelvic congestion syndrome and usually occur during pregnancy. We present a case of a huge isolated and disfiguring vulvar varicosities in a non-pregnant women managed successfully by combination of surgery and sclerotherapy.
2016: SAGE Open Med Case Rep
https://www.readbyqxmd.com/read/27678874/robotic-single-incision-ovarian-vein-ligation-for-pelvic-congestion-syndrome
#4
G Xiaoming, T M Walsh, A Hernandez, P Osial, D Xu
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678858/pelvic-congestion-syndrome
#5
A C Balica, N Nassiri, J Horne, S Egan, X K Wang
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27649112/nutcracker-syndrome-laparoscopic-external-stenting-of-the-renal-vein-the-shield-technique
#6
Fernando Korkes, Marcel Silveira, Oseas Castro Neves-Neto, Luiz Franco Brandão, Marcos Tobias-Machado, Nelson Wolosker, Felipe Nasser, Alexandre Maurano
Nutcracker syndrome refers to the complex of clinical symptoms caused by the compression of the left renal vein (LRV) between the abdominal aorta and the superior mesenteric artery, leading to stenosis of the aortomesenteric portion of the LRV and dilatation of the distal portion. Hematuria, proteinuria, flank pain, varicocele and pelvic congestion may occur, occurring more frequently in young adults. Conservative management, might be the option whenever it is possible. When surgical treatment is required, classically open surgery have been performed, with major surgeries as LRV transposition or bypass techniques...
September 20, 2016: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/27428495/pelvic-congestion-syndrome-and-left-renal-compression-syndrome-clinical-features-and-therapeutic-approaches
#7
REVIEW
Christina Jeanneret, Konstantin Beier, Alexander von Weymarn, Jürg Traber
Knowledge of the anatomy of the pelvic, gonadal and renal veins is important to understand pelvic congestion syndrome (PCS) and left renal vein compression syndrome (LRCS), which is also known as the nutcracker syndrome. LRCS is related to PCS and to the presence of vulvar, vaginal and pudendal varicose veins. The diagnosis of the two syndromes is difficult, and usually achieved with CT- or phlebography. The gold standard is the intravenous pressure measurement using conventional phlebography. The definition of PCS is described as pelvic pain, aggravated in the standing position and lasting for more than 6 months...
2016: VASA. Zeitschrift Für Gefässkrankheiten
https://www.readbyqxmd.com/read/27397619/effectiveness-of-embolization-or-sclerotherapy-of-pelvic-veins-for-reducing-chronic-pelvic-pain-a-systematic-review
#8
Jane P Daniels, Rita Champaneria, Laila Shah, Janesh K Gupta, Judy Birch, Jonathan G Moss
PURPOSE: Chronic pelvic pain (CPP) in the presence of dilated and refluxing pelvic veins is often described as pelvic congestion syndrome (PCS), although the causal relationship between pelvic vein incompetence and CPP has not been established. Percutaneous embolization is the principal treatment for PCS, with high success rates cited. This study was undertaken to systematically and critically review the effectiveness of embolization of incompetent pelvic veins. MATERIALS AND METHODS: A comprehensive search strategy encompassing various terms for pelvic congestion, pelvic pain, and embolization was deployed in 17 bibliographic databases, with no restriction on study design...
October 2016: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/27318059/efficacy-of-endovascular-treatment-for-pelvic-congestion-syndrome
#9
REVIEW
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
https://www.readbyqxmd.com/read/27294622/chronic-pelvic-pain
#10
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
https://www.readbyqxmd.com/read/26993924/the-role-of-duplex-ultrasound-in-the-pelvic-congestion-syndrome-workup
#11
R D Malgor, G Spentzouris, D Adrahtas, A P Gasparis, A K Tassiopoulos, N Labropoulos
No abstract text is available yet for this article.
January 2013: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26993693/nonthrombotic-venous-obstructions-cause-pelvic-congestion-syndrome
#12
S F Daugherty
No abstract text is available yet for this article.
January 2015: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26993690/diagnosis-and-treatment-of-the-pelvic-congestion-syndrome
#13
REVIEW
Marlene T O'Brien, David L Gillespie
BACKGROUND: Chronic pelvic pain accounts for up to 30% of outpatient gynecologic visits in the United States, potentially affecting up to 40% of the female population during their lifetime. Pelvic congestion syndrome (PCS) is defined as chronic pelvic pain resulting from reflux or obstruction of the gonadal, gluteal, or periuterine veins, sometimes associated with perineal or vulvar varices. It can also be caused by compression of the left renal vein (LRV) between the superior mesenteric artery and the aorta, also known as the nutcracker syndrome...
January 2015: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26993679/the-natural-history-and-treatment-outcomes-of-symptomatic-ovarian-vein-thrombosis
#14
Nicos Labropoulos, Rafael D Malgor, Matthew Comito, Antonios P Gasparis, Peter J Pappas, Apostolos K Tassiopoulos
BACKGROUND: Information on ovarian vein thrombosis (OVT) is limited to some retrospective studies. The purpose of this prospective study was to evaluate the natural history and treatment outcomes of OVT. METHODS: Patients with documented symptomatic OVT who were treated with anticoagulation and had at least 3 months of follow-up were included. Outcomes of interest were recanalization rates, pain resolution, pelvic congestion syndrome, recurrent deep venous thrombosis (DVT), and mortality...
January 2015: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26993385/endovascular-intervention-for-pelvic-congestion-syndrome-is-justified-for-chronic-pelvic-pain-relief-and-patient-satisfaction
#15
Axel Thors, Mounir J Haurani, Tammy K Gregio, Michael R Go
OBJECTIVE: Pelvic congestion syndrome (PCS) is difficult to diagnose, poorly understood, and often confused with other causes of chronic pelvic pain. Thus, gonadal vein reflux, its relation to lower extremity venous insufficiency (LEVI), and treatment remains controversial to physicians and payors. We present our experience with endovascular PCS treatment and hypothesize that properly selected patients can realize significant improvement. METHODS: A retrospective study of patients treated for PCS at our institution from 2008 to 2012 was performed...
July 2014: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26992966/the-role-of-duplex-ultrasound-in-the-workup-of-pelvic-congestion-syndrome
#16
Rafael D Malgor, Demetri Adrahtas, Georgios Spentzouris, Antonios P Gasparis, Apostolos K Tassiopoulos, Nicos Labropoulos
BACKGROUND: Pelvic congestion syndrome (PCS) imaging workup algorithms are not well-defined. The purpose of our study is to gauge the impact and accuracy of duplex ultrasound (DU) to assist in the diagnosis of PCS. METHODS: We reviewed the records of 48 patients with PCS seen at a vein center from June 2010 to June 2012. All patients had DU plus either computed tomography venography (CTV) or conventional venography (CV). Measurements of the left (LOV) and right ovarian vein (ROV) diameter and the presence or absence of ovarian vein reflux were obtained using DU and compared with either CTV or CV to assess sensitivity and specificity...
January 2014: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26992312/hypersensitivity-to-nickel-in-a-patient-treated-with-coil-embolization-for-pelvic-congestion-syndrome
#17
Jennifer Fahrni, Peter Gloviczki, Jeremy L Friese, Jamie N Bakkum-Gamez
A 34-year-old woman had persistent symptoms of pelvic venous congestion syndrome and developed new symptoms of a systemic allergic reaction after coil embolization of both ovarian and internal iliac veins. Patch testing revealed hypersensitivity to nickel and palladium, both components of the coils used. After surgical removal of the coils and hysterectomy with salpingo-oophorectomy, all her symptoms resolved.
July 2015: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26992307/venous-angioplasty-and-stenting-improve-pelvic-congestion-syndrome-caused-by-venous-outflow-obstruction
#18
Stephen F Daugherty, David L Gillespie
OBJECTIVE: Pelvic congestion syndrome (PCS) is widely thought to be due to ovarian or internal iliac vein reflux. This report of a retrospective review of treatment of nonthrombotic common iliac vein (CIV) or inferior vena cava (IVC) obstruction with relief of symptoms demonstrates an often overlooked pathologic process. Stent placement is evaluated as an effective treatment of PCS due to venous obstruction even if observed left ovarian vein (OV) reflux is left untreated. METHODS: Records from two institutions were reviewed for patients with nonthrombotic venous outflow obstruction and symptoms of PCS severely affecting quality of life...
July 2015: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26946906/left-ovarian-to-left-external-iliac-vein-transposition-for-the-treatment-of-nutcracker-syndrome
#19
John V White, Connie Ryjewski, Richard N Messersmith, Fabio Sbrana, Lewis B Schwartz
Nutcracker syndrome represents the constellation of symptoms caused by extrinsic compression of the left renal vein between the aorta and superior mesenteric artery, producing left renal venous outflow obstruction and, frequently, pelvic venous congestion. When severe, the syndrome is most commonly treated by surgical transposition of the left renal vein onto the inferior vena cava or by renal venous stent placement. Each of these treatment modalities is associated with significant immediate and long-term risks...
January 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26789334/the-relationship-between-pelvic-vein-incompetence-and-chronic-pelvic-pain-in-women-systematic-reviews-of-diagnosis-and-treatment-effectiveness
#20
REVIEW
Rita Champaneria, Laila Shah, Jonathan Moss, Janesh K Gupta, Judy Birch, Lee J Middleton, Jane P Daniels
BACKGROUND: Pelvic congestion syndrome (PCS) is described as chronic pelvic pain (CPP) arising from dilated and refluxing pelvic veins, although the causal relationship between pelvic vein incompetence (PVI) and CPP is not established. Non-invasive screening methods such as Doppler ultrasound and magnetic resonance venography are used before confirmation by venography. Percutaneous embolisation has become the principal treatment for PCS, with high success rates often cited. OBJECTIVES: Our proposal aimed to systematically and critically review the definitions and diagnostic criteria of PCS, the association between PVI and CPP, the accuracy of various non-invasive imaging techniques and the effectiveness of embolisation for PVI; and to identify factors associated with successful outcome...
January 2016: Health Technology Assessment: HTA
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