Abstract
Chronic pelvic pain affects approximately one-third of all women and is responsible for about 20% of all gynecological consultations. The authors report a rare case of symptomatic pelvic venous congestion in the presence of duplication of the inferior vena cava and inter-iliac communication through the right hypogastric vein that was treated via an endovascular approach with embolization of varicose pelvic veins. The published literature is reviewed.
Highlights
Chronic pelvic pain affects approximately one-third of all women and is responsible for about 20% of all gynecological consultations
The authors report a rare case of symptomatic pelvic venous congestion in the presence of duplication of the inferior vena cava and inter-iliac communication through the right hypogastric vein that was treated via an endovascular approach with embolization of varicose pelvic veins
Embora os estudos atuais disponíveis contenham fracas evidências devido a desenho inadequado, os dados apresentados e os resultados obtidos parecem corroborar a abordagem endovascular como o tratamento de escolha nesse cenário, permitindo, ao mesmo tempo, eliminar os potenciais pontos de refluxo venoso e a obliteração de veias varicosas, com cessação ou diminuição importante das queixas apresentadas pelas pacientes
Summary
Chronic pelvic pain affects approximately one-third of all women and is responsible for about 20% of all gynecological consultations. Os autores relatam um raro caso de congestão venosa pélvica sintomática na presença de duplicação de veia cava inferior e comunicação interilíaca através de veia hipogástrica direita tratado com abordagem endovascular, por embolização das veias varicosas pélvicas e revisão da literatura publicada.
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