骨盤鬱血症候群に対して卵巣静脈塞栓術が奏功した１例

概要

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Pelvic congestion syndrome (PCS) is a cause of chronic pelvic pain related to the presence of varicose veins surrounding the uterus and ovaries. Although it has been demonstrated that embolization of the ovarian vein for PCS is effective, experience is still limited in Japan. We report a case with PCS successfully treated by transcatheter embolosclerotherapy using ethanol and coils. In this case, imaging studies showed abnormally dilated left ovarian and pelvic veins with a reversed flow of the left ovarian vein. Diagnosis of PCS was based on the presence of these radiological findings, and the absence of clinical findings of other pathologic conditions (e.g. PID, endometriosis, AVM and nuts cracker phenomenon). Endovascular treatment included transcatheter ethanol injection into the left ovarian plexus and coil embolizations of the left ovarian vein. The procedure was successful and we observed marked improvement of her symptoms within a week. There has been no recurrence for 3 years.
一般社団法人日本インターベンショナルラジオロジー学会の論文