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Updated: Jul 19, 2026

Acupoint Catgut Embedding for Treatment of Chronic Pelvic Pain Due to the Sequelae of Pelvic Inflammatory Disease
Published on: May 3, 2024
[Pelvic congestion syndrom].
B K Chilla1, P R Knüsel, Ch L Zollikofer
1Institut für Radiologie, Kantonsspital Baden AG, Baden. bianka.chilla@ksb.ch
This study details the successful interventional therapy for chronic pelvic pain and vulvar varicosis. Advanced imaging and minimally invasive procedures resolved complex venous issues, improving patient outcomes.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gynecology
Background:
- Chronic pelvic pain in women can be associated with complex venous abnormalities.
- Vulvar varicosis is a challenging condition often linked to pelvic venous congestion.
Observation:
- A 37-year-old female presented with chronic pelvic pain and evident vulvar varicosis.
- MR-angiography revealed extensive pelvic varices, left ovarian vein dilation, and vulvar varicosities, alongside great saphenous vein insufficiency.
Findings:
- Initial surgical management included great saphenous vein stripping and pelvic vein phlebectomy.
- Persistent vulvar varicosis was effectively treated with coil embolization and liquid sclerotherapy of pelvic and ovarian veins.
Implications:
- Combined surgical and interventional radiological approaches can successfully manage complex pelvic and vulvar venous disorders.
- Minimally invasive techniques offer effective solutions for debilitating venous conditions contributing to chronic pelvic pain.
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