Venous ulcerations occur more frequently in women on the left lower leg. Can pelvic congestion syndrome be an often undetected cause?

Placke, Jan‐Malte; Jockenhöfer, Finja; Benson, Sven; Dissemond, Joachim

doi:10.1111/iwj.13260

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…The frequency of reporting leg symptoms such as pain, edoema, heaviness increases with age [ 50 ]. PCS is also suspected as a cause of venous leg ulcers and infertility [ 55 , 56 ]. In the course of the PCS, urinary symptoms may occur due to perivesical varicosities such as bladder irritability and urgency or dysuria.…”

Section: Symptomsmentioning

confidence: 99%

Comprehensive overview of the venous disorder known as pelvic congestion syndrome

2021

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Pelvic venous disorders (PeVD) also known as Pelvic Congestion Syndrome (PCS) affect a great number of women worldwide and often remain undiagnosed. Gynecological symptoms caused by vascular background demand a holistic approach for appropriate diagnosis. This is a relevant cause of chronic pelvic pain and atypical varicose veins. The diagnosis is based on imaging studies and their correlation with clinical presentation. Although the aetiology of PCS still remains unclear, it may result from a combination of factors including genetic predisposition, anatomical abnormalities, hormonal factors, damage to the vein wall, valve dysfunction, reverse blood flow, hypertension and dilatation. The following paper describes an in-depth overview of anatomy, pathophysiology, symptoms, diagnosis and treatment of PCS. In recent years, minimally invasive interventions have become the method of first choice for the treatment of this condition. The efficacy of a percutaneous approach is high and it is rarely associated with serious complications. Key Messages Pelvic venous disorders demand a holistic approach for appropriate diagnosis. This article takes an in-depth look at existing therapies of Pelvic Congestion Syndrome and pathophysiology of this condition. Embolisation is an effective and safe treatment option.

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Section: Symptomsmentioning

confidence: 99%