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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 ]
This treatment has largely superseded operative options.Coil embolisation requires exclusion of other pelvic pathology, expertise in endovascular surgery, correct placement of appropriate sized coils in the pelvis and also in the upper left ovarian vein, careful pre- and post-procedure specialist vascular ultrasound imaging, a full discussion ...
Gynecologic ultrasonography or gynecologic sonography refers to the application of medical ultrasonography to the female pelvic organs (specifically the uterus, the ovaries, and the fallopian tubes) as well as the bladder, the adnexa, and the recto-uterine pouch. The procedure may lead to other medically relevant findings in the pelvis.This ...
Although hematometra can often be diagnosed based purely on the patient's history of amenorrhea and cyclic abdominal pain, as well as a palpable pelvic mass on examination, the diagnosis can be confirmed by ultrasound, which will show blood pooled in the uterus and an enlargement of the uterine cavity.
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]
Also, unlike ultrasonography of deep venous thrombosis, the procedure focuses mainly on superficial veins. Also, unlike the arterial ultrasound examination, blood velocity in veins has no diagnostic meaning. Veins are a draining system similar to a low pressure hydraulic system, with a laminar flow and a low velocity.
Gonadal vein transposition or Left Ovarian Vein Transposition: The left gonadal vein is transposed into the Inferior Vena Cava to reduce the amount of blood draining into the pelvis eliminating pelvic congestion and allowing the kidney to drain directly into the IVC via the left ovarian vein. [6]
Both the left and right uterine arteries are embolized since unilateral UAEs have a high risk of failure. [28] The procedure can be performed in a hospital or surgical center. More recently, there has been support for UAE as an outpatient procedure, but many doctors choose an overnight admission for pain control. [29]