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[Ovarian vein syndrome].

R Montagnac1, F Schillinger, D Schillinger

  • 1Service de Néphrologie-Hémodialyse, Centre Hospitalier Général de Troyes.

Revue Francaise De Gynecologie Et D'Obstetrique
|January 1, 1989
PubMed
Summary

Ovarian vein syndrome, caused by dilated ovarian veins obstructing the ureter, leads to pain and kidney infections, especially during pregnancy. Early diagnosis and tailored treatment are crucial for effective management.

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Area of Science:

  • Urology
  • Vascular Surgery
  • Obstetrics and Gynecology

Background:

  • Ovarian vein syndrome is increasingly recognized as a clinical entity.
  • It results from ovarian vein dilation causing ureteral obstruction.
  • This condition is linked to lumbar pain, pyelonephritis, and kidney stones.

Purpose of the Study:

  • To highlight the clinical significance of ovarian vein syndrome.
  • To emphasize its association with pregnancy and right-sided ureteral obstruction.
  • To discuss diagnostic and therapeutic approaches.

Main Methods:

  • Review of clinical presentations and etiological factors.
  • Emphasis on diagnostic history taking.
  • Discussion of radiological confirmation methods.

Main Results:

  • The right side is more commonly affected due to ureteral anatomy.
  • Pregnancy is a significant factor in onset or exacerbation.
  • Over 95% of cases during pregnancy occur on the right side, causing hydronephrosis.

Conclusions:

  • Ovarian vein syndrome requires recognition for accurate diagnosis.
  • Diagnosis involves careful history and radiological examinations.
  • Treatment strategies are adapted based on pregnancy status and symptom severity, avoiding misdiagnosis and ineffective procedures.

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