[Pelvic congestion syndrome - A clinical report]

Pelvic congestion syndrome is a common disorder that occurs mainly in young multiparous women. It is characterized by a variable combination of chronic (up to 6 months) not cyclical pain, dyspareunia, dysmenorrhea, urinary symptoms and constipation, that may be associated to perineal and lower limbs varicose veins, with pelvic origin. We report the clinical case of a 26 year-old female, G0P0, with lower limbs varicose veins. During the investigation of chronic pelvic pain associated to pelvic heaviness and dyspareunia, a MR was performed and pelvic varicose veins were diagnosed. Findings were confirmed by venography. Imaging findings and symptoms severity mandated treatment and we proceeded to left ovaric vein embolization. Therapeutic success was then reached and patient remains asymptomatic 10 months after treatment.