"Patients have chronic (>6 months) non-cyclical symptoms, including pelvic pain, perineal "heaviness", urinary urgency, and post-coital pain 15. In certain cases, there may be thigh, leg, buttock or vulvar varices 15. It is often considered a diagnosis of exclusion."
"Non-invasive imaging is primarily used for excluding other pelvic pathology with catheter venography considered the modality of choice for the diagnosis of pelvic congestion syndrome 15. The reported sensitivity of ultrasound is variable between 20% and 100% 15,16, and MRI between 60% and 100% 15,16."
"Pelvic congestion syndrome was first described in 1857 by Louis Alfred Richet (1816-1891), a French anatomist and surgeon 11."
"The term pelvic varices is also used in the setting of dilated pelvic veins on imaging with or without the presence of pelvic pain ref."
"compression of the left renal vein by SMA also known as the nutcracker phenomenon"
"May show dilated veins. Time of flight (TOF) imaging can be performed where contrast is not required."
"GE: high signal"
"MR venography"
Expected headings
"Associations"
"MR venography"
"Signal characteristics"
"Angiography (DSA)"
"Patients have chronic (>6 months) non-cyclical symptoms, including pelvic pain, perineal "heaviness", urinary urgency, and post-coital pain 15. In certain cases, there may be thigh, leg, buttock or vulvar varices 15. It is often considered a diagnosis of exclusion."