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422043

Role of CT Venography of Abdomen and Pelvis for As-sessment of Females with Pelvic Congestion Syndrome

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Last updated: 27 Apr 2025

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Clinical Research (Surgical)

Abstract

Background: Pelvic congestion syndrome (PCS) is one of the causes of persistent pelvic discomfort in females. It is believed to be caused by ovarian or pelvic vein venous insufficiency. Along with these and other symptoms, patients also exhibit vulva, gluteal, lower limb varicosities, dysuria, and dyspareunia. CT and MRI venography play a cornerstone role in diagnosis and even selection of an appropriate plan of management for the cases with PCS. In this study, we evaluate the role of computed tomography (CT) venography of abdomen and pelvis for evaluation of causes of pelvic venous insufficiency. Aim: To assess role of CT venography of abdomen and pelvis in diagnosis of pelvic congestion syndrome. Patients and Methods: cross sectional observational study was conducted at SCU hospitals, Ismailia city, Egypt. 50 Female Patients diagnosed with pelvic congestion syndrome. CT venography of abdomen and pelvis scans image readings was obtained to assess parametrial, pelvic and vulvuoperineal varicosity, gonadal vein dilatation and reflux, round ligament varicosity and vascular compression syndromes. Results: Chronic pelvic pain and Vaginal discharge and were the commonest symptoms (64% and 40% respectively). About half of participants 22 (44%) had secondary causes of pelvic congestion syndrome and 28 (56%) patients was diagnosed as non-obstructing primary pelvic congestion syndrome. Conclusion: CT venography of abdomen and pelvis is an initial investigation for female patients with pelvic congestion syndrome.

DOI

10.21608/scumj.2024.422043

Keywords

pelvic congestion syndrome, CT venography, Chronic pelvic pain

Authors

First Name

Tasneem

Last Name

Soltan

MiddleName

Belal

Affiliation

Diagnostic and Interventional Radiology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

tasneembelal@outlook.com

City

portsaid

Orcid

-

First Name

Tarek

Last Name

Khalil

MiddleName

H.

Affiliation

Diagnostic and Interventional Radiology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

drtarekhassan@hotmail.com

City

-

Orcid

-

First Name

Walid

Last Name

Mosallam

MiddleName

-

Affiliation

Diagnostic and Interventional Radiology Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

walidmosallam@yahoo.com

City

ismailia

Orcid

-

First Name

Mohammed

Last Name

Kamel

MiddleName

Mostafa

Affiliation

Vascular Surgery Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Email

mmk_surgeon@hotmail.com

City

-

Orcid

-

Volume

27

Article Issue

11

Related Issue

52243

Issue Date

2024-11-01

Receive Date

2024-10-01

Publish Date

2024-11-01

Page Start

1

Page End

7

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 27_Issue 11_Pages 1-7.pdf

PDF . 259.7kB

Link

https://scumj.journals.ekb.eg/article_422043.html

Detail API

http://journals.ekb.eg?_action=service&article_code=422043

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1

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Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Role of CT Venography of Abdomen and Pelvis for As-sessment of Females with Pelvic Congestion Syndrome

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Type

Article

Created At

27 Apr 2025