Pelvic Venous Insufficiency: Imaging Diagnosis, Treatment Approaches, and Therapeutic Issues

被引:51
作者
Knuttinen, M. Gracia [1 ]
Xie, Karen [1 ]
Jani, Aarti [1 ]
Palumbo, Alison [1 ]
Carrillo, Tami [1 ]
Mar, Winnie [1 ]
机构
[1] Univ Illinois Hosp & Hlth Sci Syst, Dept Radiol, Chicago, IL 60612 USA
关键词
embolization; ovarian vein; pelvic pain; varices; varix; venous insufficiency; OVARIAN VEIN EMBOLIZATION; RANDOMIZED CONTROLLED TRIAL; LOWER ABDOMINAL-PAIN; CONGESTION SYNDROME; VARICOSE-VEINS; MEDROXYPROGESTERONE ACETATE; ENDOVASCULAR TREATMENT; CYSTIC OVARIES; FOLLOW-UP; WOMEN;
D O I
10.2214/AJR.14.12709
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. The purposes of this article are to review the causes of pelvic congestion syndrome and the imaging used to make the diagnosis and to summarize the treatment options. CONCLUSION. Pelvic congestion syndrome is one of many causes of chronic pelvic pain. It is thought to arise from ovarian and pelvic venous incompetence. Findings from various noninvasive imaging studies, such as Doppler ultrasound and MRI, in association with the clinical symptoms are critical in establishing the diagnosis.
引用
收藏
页码:448 / 458
页数:11
相关论文
共 41 条
[1]   UTERINE SIZE AND ENDOMETRIAL THICKNESS AND THE SIGNIFICANCE OF CYSTIC OVARIES IN WOMEN WITH PELVIC PAIN DUE TO CONGESTION [J].
ADAMS, J ;
REGINALD, PW ;
FRANKS, S ;
WADSWORTH, J ;
BEARD, RW .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1990, 97 (07) :583-587
[2]   MR Venography in the Detection of Pelvic Venous Congestion [J].
Asciutto, G. ;
Mumme, A. ;
Marpe, B. ;
Koester, O. ;
Asciutto, K. C. ;
Geier, B. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2008, 36 (04) :491-496
[3]   CLINICAL-FEATURES OF WOMEN WITH CHRONIC LOWER ABDOMINAL-PAIN AND PELVIC CONGESTION [J].
BEARD, RW ;
REGINALD, PW ;
WADSWORTH, J .
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 1988, 95 (02) :153-161
[4]  
BEARD RW, 1984, LANCET, V2, P946
[5]   Ovarian varices in healthy female kidney donors: Incidence, morbidity, and clinical outcome [J].
Belenky, A ;
Bartal, G ;
Atar, E ;
Cohen, M ;
Bachar, GN .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2002, 179 (03) :625-627
[6]   PELVIC VARICES SIMULATING CYSTIC OVARIES - DIFFERENTIATION BY PULSE DOPPLER [J].
BERGER, RB ;
TAYLOR, KJW ;
ROSENFIELD, AT .
JOURNAL OF CLINICAL ULTRASOUND, 1982, 10 (04) :186-189
[7]   Research Reporting Standards for Endovascular Treatment of Pelvic Venous Insufficiency [J].
Black, Carl M. ;
Thorpe, Kelly ;
Venrbux, Anthony ;
Kim, Hyun S. ;
Millward, Steven F. ;
Clark, Timothy W. I. ;
Kundu, Sanjoy ;
Martin, Louis G. ;
Sacks, David ;
York, John ;
Cardella, John F. .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2010, 21 (06) :796-803
[8]  
Cheong YC, 2014, COCHRANE DB SYST REV, V3, DOI DOI 10.1002/14651858.CD008797
[9]   CT and MRI of pelvic varices in women [J].
Coakley, FV ;
Varghese, SL ;
Hricak, H .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1999, 23 (03) :429-434
[10]   Embolisation of symptomatic pelvic veins in women presenting with non-saphenous varicose veins of pelvic origin - Three-year follow-up [J].
Creton, D. ;
Hennequin, L. ;
Kohler, F. ;
Allaert, F. A. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2007, 34 (01) :112-117