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

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.