Female "Varicocele": Two Cases Diagnosed by Labeled Red Blood Cell Angioscintigraphy and Treated by Percutaneous Phlebography and Embolization

Gasparini, Daniele; Geatti, Onelio; Orsolon, Piergiuseppe; Shapiro, Brahm

doi:10.1097/00003072-199807000-00004

Cited by 6 publications

(5 citation statements)

References 3 publications

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“…Unfortunately, there is still no effective noninvasive test for the syndrome. Research is continuing into new modalities, 21 but there is still not a large enough series to recommend these new modalities over existing tests.…”

Section: Investigationsmentioning

confidence: 99%

Pelvic congestion syndrome: chronic pelvic pain caused by ovarian and internal iliac varices

Liddle

Davies

2007

Phlebology

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Chronic pelvic pain is a common and disabling condition affecting women of childbearing age. A specific diagnosis for the condition is often difficult, and referred pain from the abdominal viscera, neurogenic and psychogenic factors have all been implicated, as have pelvic conditions such as endometriosis, pelvic inflammatory disease and ovarian cysts; no diagnosis is made in 60% of patients. Pelvic congestion syndrome (PCS), the presence of varices of the pelvic veins, has been shown to be the underlying aetiology in a significant proportion of patients with chronic pelvic pain; the development of these varices is caused by a combination of endocrine and mechanical factors. Given the positional nature of these varices, they are rarely diagnosed with conventional methods such as B-mode ultrasound and diagnostic laparoscopy. Diagnosis is best made with selective ovarian venography, although newer, non-invasive methods such as magnetic resonance imaging and duplex ultrasound are increasingly gaining favour. Pelvic varices are eminently treatable, either using ovarian suppression or by the ligation or embolization of the pelvic veins.

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Section: Investigationsmentioning

confidence: 99%

Pelvic congestion syndrome: chronic pelvic pain caused by ovarian and internal iliac varices

Liddle

Davies

2007

Phlebology

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“…Neue Methoden der Beckenvenendarstellung, z. B. dreidimensionale MR-Venographie (51), helikale CT (13) und erythrozytäre Angioszintigraphie (20), scheinen erfolgreich zu sein, müssen sich jedoch erst in der Praxis bewähren.…”

Section: Grundlagen Der Beckenvenenzirkulationunclassified

“…3). Unter den zahlreichen Ergebnisberichten mit Embolisation (7,11,16,20,22,24,36,41,55,58) finden sich allerdings nur drei Serien, die auf mehr als neun Patientinnen beruhen. In diesen drei Serien wurde bei etwa 30% keine Symptombesserung festgestellt (7,11,36).…”

Section: Leichte Symptomeunclassified

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Das weibliche Beckenvenensyndrom – eine Übersicht

Scultetus¹,

Villavicencio²,

Rich³

2003

Phlebologie

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ZusammenfassungChronische Beckenschmerzen sind eine häufige Beobachtung bei mehrfachgebärenden Frauen im reproduktionsfähigen Alter. Seit Einführung neuer diagnostischer Methoden wurden Störungen der Beckenvenenzirkulation immer öfter als mögliche Ursache erkannt. Trotzdem sind die komplexen venösen Beckenvenensyndrome nicht ausreichend erforscht, Diagnose und Behandlung sind nicht standardisiert. Aufgrund unserer Erfahrungen mit 66 Patientinnen und einer umfangreichen Literaturrecherche geben wir eine Übersicht über Pathophysiologie, Diagnose und Behandlung von Beckenvenenzirkulationsstörungen.

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“…In women, an analogous varicosity of the salpingo-ovarian plexus is rare. This may be explained, in part, by the lack of clinical findings on objective examination in women compared with men and the need, until recently, to use invasive venographic methods to confirm the diagnosis [ 1 ]. In some cases, vulval varices and perivulval veins may be observed, which area consequence of the incompetence of one or both ovarian veins [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Female Gonadal Venous Insufficiency in a Clinical Presentation Which Suggested an Acute Abdomen—A Case Report and Literature Review

Matei

Dumitru

Oprițoiu³

et al. 2023

Medicina

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Pelvic venous insufficiency (PVI) is frequently associated with symptoms of abdominal pain or discomfort that is overlooked or under-diagnosed in women. Despite the fact that pelvic venous insufficiency in men is very well documented, its occurrence in women needs to be further studied. Patients with pelvic varicose veins undergo a long and inconclusive diagnostic work-up before the exact cause of the symptoms is identified. Gonadal venous insufficiency (GVI) is a condition that can present acutely, leading to diagnostic challenges. We present a case report of a 47-year-old female with acute abdominal pain and GVI, where endovascular embolization was used for successful treatment. The patient was diagnosed with GVI based on imaging findings of an enlarged left ovarian vein with retrograde flow and dilated pelvic veins seen on magnetic resonance imaging (MRI) with contrast material. Due to the severity of her symptoms and imaging findings, endovascular embolization was chosen as the treatment modality. The embolization was successful, and the patient’s symptoms resolved completely. This case highlights the challenge of diagnosing GVI with acute clinical expression and the potential benefits of endovascular embolization as a treatment option. Further studies are needed to determine the optimal management strategies for acute GVI, but endovascular embolization should be considered a safe and effective option. At the same time, we present a short review of the recent literature data related to this topic.

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Female "Varicocele": Two Cases Diagnosed by Labeled Red Blood Cell Angioscintigraphy and Treated by Percutaneous Phlebography and Embolization

Cited by 6 publications

References 3 publications

Pelvic congestion syndrome: chronic pelvic pain caused by ovarian and internal iliac varices

Pelvic congestion syndrome: chronic pelvic pain caused by ovarian and internal iliac varices

Das weibliche Beckenvenensyndrom – eine Übersicht

Female Gonadal Venous Insufficiency in a Clinical Presentation Which Suggested an Acute Abdomen—A Case Report and Literature Review

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