The relation between pelvic varicose veins, chronic pelvic pain and lower extremity venous insufficiency in women.
نویسندگان
چکیده
PURPOSE To determine the frequency of pelvic varicose veins with transvaginal ultrasound and associated lower extremity venous insufficiency with Doppler ultrasound in women with chronic pelvic pain of undetermined origin. MATERIALS AND METHODS A total of 100 women with chronic pelvic pain of undetermined origin lasting more than 6 months were included in the study. The presence of anechogenic and non-pulsatile vascular structures demonstrating flow in Doppler ultrasound with a diameter > 5 mm in parauterine and paraovarian localizations was accepted as pelvic varicose veins. In all patients, lower extremity venous systems were examined with Doppler ultrasound to assess possible associated venous insufficiency. Chi-square test was used for statistical analysis. RESULTS Pelvic varicose veins were discovered with transvaginal ultrasound in 30 of 100 patients. This association was shown to be statistically significant. Various degrees of associated lower extremity venous insufficiency were also discovered in 21 of these 30 patients. CONCLUSION This study has shown that the presence of pelvic varicose veins in women with chronic pelvic pain is not infrequent, and in the majority of cases, they are associated with lower extremity venous insufficiency. Since the diagnosis of lower extremity venous insufficiency plays an important part in deciding the course of treatment, lower extremity Doppler ultrasound must be included in the evaluation when pelvic varicose veins are discovered.
منابع مشابه
The relation between pelvic varicose veins and lower extremity venous insufficiency in women with chronic pelvic pain.
PURPOSE To determine the relation between pelvic varicose veins and lower extremity venous insufficiency in women with chronic pelvic pain. METHODS AND MATERIALS This study was done in Yuzuncu Yil University Faculty of Medicine, Department of Radiology, with patients who were referred for abdominal and pelvic imaging between January 2007 and April 2008. A total of 1029 women with pelvic imagi...
متن کاملThe relation between pelvic venous dilatation and lower extremity venous insufficiency in women with chronic pelvic pain
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[Pelvic congestion syndrome: outcome after embolization with coils].
OBJECTIVE To study the clinical manifestations and findings at venography in patients with pelvic congestion syndrome and to evaluate the outcome after percutaneous embolization using coils. MATERIALS AND METHODS We studied 34 women referred to the vascular radiology unit from the vascular surgery department for clinical suspicion of pelvic congestion syndrome. All patients underwent venograp...
متن کاملSuprapubic varicose vein formation during pregnancy following pre-pregnancy pelvic vein embolisation with coils, without any residual pelvic venous reflux or obstruction
Suprapubic varicose veins are usually indicative of unilateral iliac vein occlusion and venous collateralisation. We report two cases of suprapubic varicose veins following pelvic vein embolisation and subsequent pregnancy; both presented without residual pelvic venous reflux or pelvic venous obstruction. In both cases, there was no significant flow in the suprapubic veins indicating that they ...
متن کاملTime-Resolved MR Angiography in the Detection of Ovarian Venous Reflux
Introduction Chronic pelvic pain is a common health problem among women that is characterized by non-cyclic pelvic pain for more than 6 months in duration. It has been reported that as many as 39.1% of women had chronic pelvic pain at some time their liver. Pelvic congestion syndrome is defined as chronic pelvic pain caused by incompetent ovarian veins, which associated venous reflux and venous...
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ورودعنوان ژورنال:
- Diagnostic and interventional radiology
دوره 12 1 شماره
صفحات -
تاریخ انتشار 2006