# 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.

## Key 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.