Abstract
To evaluate the efficacy of multi-detector row CT (MDCT) on pelvic congestion syndrome (PCS), which is often overlooked or poorly visualized with routine imaging examination. We evaluated the MDCT features of 40 patients with PCS (mean age, 45 years; range, 29-60 years) using axial, coronal, sagittal, 3D volume-rendered, and Maximum Intensity Projection MIP images. MDCT revealed pelvic varices and ovarian vein dilatations in all patients. Bilateral ovarian vein dilatation was present in 25 patients, and 15 patients had unilateral dilatation. While 12 cases of secondary pelvic varices occurred simultaneously with a retroaortic left renal vein, 10 cases were due solely to a mass obstruction or stenosis of venous structures. MDCT is an effective tool in the evaluation of PCS, and it has more advantages than other imaging modalities.
Highlights
Pelvic congestion syndrome (PCS) is a cause of chronic pelvic pain in women
With very promising treatment results of PCS, we present the findings of PCS acquired with multi-detector row CT (MDCT) angiography
This study was performed with a group of 40 patients with PCS and used a
Summary
Pelvic congestion syndrome (PCS) is a cause of chronic pelvic pain in women. Because the etiology of pelvic vessel dilatation may be multifaceted (e.g., hormonal and mechanical factors), PCS may occur along with other serious diseases, so imaging these vasculatures has a crucial importance in screening. With very promising treatment results of PCS, we present the findings of PCS acquired with multi-detector row CT (MDCT) angiography. A non-ionic contrast agent was administered by a power injector at 2.0 ml/sec through a 20-gauge catheter. The CT examinations were acquired during a breath hold at suspended inspiration, and scanning began 25 seconds after the start of the contrast injection. The CT scanning was done using 1.5-mm collimation, 1.0-mm slice thickness, 7.5mm table travel per rotation, 0.5-second tube rotation time, 120-kVp tube voltage, and 250-mA tube current
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