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[Uterine phlebography in pelvic venous stasis]
Revue Francaise De Gynecologie Et D'Obstetrique
|February 25, 1991
Summary
Hysterophlebography effectively diagnoses pelvic venous stasis by visualizing uterine vein abnormalities. This technique reveals dilated veins and delayed contrast emptying, aiding in the diagnosis of vascular pelvic pain.
Area of Science:
- Vascular Imaging
- Gynecologic Radiology
Background:
- Pelvic venous stasis is a significant cause of vascular pelvic pain.
- Hysterophlebography, a specialized imaging technique, has been applied to study intrauterine vascularization and hypoplasia.
Purpose of the Study:
- To evaluate the utility of hysterophlebography in diagnosing pelvic venous stasis.
- To characterize normal and pathological venous patterns in the uterus and surrounding structures.
Main Methods:
- Hysterophlebography was performed to visualize the venous system of the uterus.
- Contrast medium dynamics were assessed, including emptying times.
- Radiographic imaging in an upright position (proclive at 70 degrees) was used to enhance stasis detection.
Main Results:
- Normal uterine venous drainage involves a fine intra-parietal network emptying within 10 seconds.
- Pathological findings in venous stasis include dilated intrauterine veins, thrombosis (predominantly left-sided), and delayed emptying (>20 seconds).
- Extrauterine stasis shows preferentially right-sided pedicle dilatation, particularly at the broad ligament base, with slow contrast emptying.
Conclusions:
- Hysterophlebography is a valuable tool for diagnosing pelvic venous stasis and associated vascular abnormalities.
- The technique allows for the identification of both intrauterine and extrauterine venous congestion, aiding in the understanding of vascular pelvic pain.