Selective Embolization in the Treatment of Pelvic Congestion Syndrome: A Comprehensive Case Report and Review of the Literature

TL;DR

This case report describes a 29-year-old woman successfully treated for pelvic congestion syndrome using endovascular therapy after diagnosis with advanced imaging.

Contribution

The paper presents a comprehensive case report and review of the literature on the use of endovascular therapy for pelvic congestion syndrome.

Findings

Pelvic congestion syndrome was diagnosed using phlebography with 3D reconstruction.

Endovascular therapy effectively treated the patient's condition with a year of positive follow-up.

The case highlights the importance of advanced imaging in diagnosing and managing pelvic congestion syndrome.

Abstract

Pelvic congestion syndrome is characterised by chronic pelvic pain lasting more than six months and is often underdiagnosed. Advanced imaging modalities play a crucial role in guiding further diagnostic evaluations and determining the appropriate treatment strategy. In the case presented, a phlebography with 3D reconstruction revealed ovarian vein reflux accompanied by an increased diameter, which confirmed the diagnosis. We present a case study of a 29-year-old woman who developed vulvar varicosities during her first pregnancy, was diagnosed with pelvic congestion syndrome in the postpartum period, and was successfully treated with endovascular therapy, with a year of follow-up.

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