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As a wide range of pelvic and abdominal pathology can cause symptoms consistent with those symptoms due to left ovarian vein reflux, prior to embolisation of the left ovarian vein, a careful search for such diagnoses is essential. Consultation with general surgeons, gynaecologists, and possibly CT scanning should always be considered.
Pelvic congestion syndrome, also known as pelvic vein incompetence, is a long-term condition believed to be due to enlarged veins in the lower abdomen. [ 1 ] [ 7 ] The condition may cause chronic pain , such as a constant dull ache, which can be worsened by standing or sex. [ 1 ]
The uterine vein is found in the cardinal ligament of the uterus. It travels through the broad ligament of the uterus to the lateral abdominal wall. [1] It drains into the internal iliac vein. [1] [2] The uterine vein forms a venous plexus around the cervix. [2] It follows a similar course to the uterine artery. [3] Lymphatic vessels are ...
The arcuate vessels of the uterus are a component of the blood supply of the uterus. They are arteries and veins that branch from the uterine arteries and veins, respectively, with additional anastomoses from the ovarian arteries and veins, [2] and penetrate and assume a circumferential course in the myometrium. [3]
The varicocoele starts at the veins draining the round ligament and the inguinal canal and is associated with engorgement of the veins of the ovaries and the pelvis during pregnancy. Endometriosis [8] [9] that infiltrates or borders the uterine round ligament can cause RLP in fertile, non-gestating women.
Ultrasound investigation is often done before attempts to remove fluid from the abdomen. This may reveal the size and shape of the abdominal organs, and Doppler studies may show the direction of flow in the portal vein, as well as detecting Budd–Chiari syndrome (thrombosis of the hepatic vein) and portal vein thrombosis. The sonographer also ...
Septic pelvic thrombophlebitis (SPT), also known as suppurative pelvic thrombophlebitis, is a rare postpartum complication which consists of a persistent postpartum fever that is not responsive to broad-spectrum antibiotics, in which pelvic infection leads to infection of the vein wall and intimal damage leading to thrombogenesis in the ovarian veins (left or right, although right is more ...
As the disease progresses, nonspecific findings can include free pelvic fluid, endometrial thickening, uterine cavity distension by fluid or gas. In some instances the borders of the uterus and ovaries appear indistinct. Enlarged ovaries accompanied by increased numbers of small cysts correlates with PID. [28]