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Ovarian vein imaging in pelvic congestion syndrome

Case Study
Rigby, Kylie, B.Sc. Regional Imaging Border • Australia

Patient history

A female presented with a non-cyclic, chronic, dull and aching pelvic pain for over 6 months. An MRI examination was performed at Regional Imaging Border, Albury, Australia to visualize the veins in the ovaries.

MR examination

The MR examination was performed on a Achieva 3.0T TX system at Release 5.1.7 sp1.

 

View ExamCard used:

Images and findings

Click on an image to enlarge

   

The images show the veins of the female pelvis. An incompetent left ovarian vein and pelvic varices are visualized.

Diagnosis

The finding was pelvic congestion syndrome.

 

Pelvic congestion syndrome is a condition that occurs due to retrograde flow in the ovarian vein due to incompetent valves and associated venous reflux and venous engorgement. Patients typically present with with non-cyclical chronic dull and aching pelvic pain for greater than 6 months. In certain cases there may be thigh or vulvar varices. The syndrome most commonly occurs in premenopausal, multiparous women.  It is thought to be caused by pressure previously put on the vein during pregnancy.

 

The patient was treated by embolization of the vein by surgical ligation.

Clinical impact of MRI

In this case, MRI using Achieva 3.0T TX could noninvasively visualize this suspected pathology in the pelvic region.



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Case Study
Achieva 3.0T TX
Release 5
Quasar Dual
Body, mDIXON FFE, ovarian vein, Ovaries, pelvic congestion syndrome, Pelvis, SENSE XL Torso coil, Vascular
 

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