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Summary
Right ovarian vein syndrome during pregnancy causes flank pain and kidney colic due to vein malposition. Diagnosis involves imaging, and treatment may require a double-J catheter or surgery after delivery to ligate the vein.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Vascular Surgery
Background:
- Right ovarian vein syndrome is a rare condition often presenting during pregnancy.
- It arises from congenital malposition of the right ovarian vein, leading to ureteral compression.
- Symptoms include right lumbar pain and nephritic colic.
Purpose of the Study:
- To describe the clinical presentation, diagnostic methods, and management of right ovarian vein syndrome in pregnant patients.
Main Methods:
- Diagnosis is established through intravenous urography and retrograde ureteral pyelography.
- Conservative management with analgesics is the initial approach.
- Interventional procedures like double-J catheter placement and surgical ligation are considered for persistent symptoms.
Main Results:
- The syndrome is characterized by specific lumbar and renal pain patterns.
- Radiographic imaging is crucial for accurate diagnosis.
- Surgical intervention after delivery may be necessary for definitive treatment.
Conclusions:
- Right ovarian vein syndrome requires prompt diagnosis and tailored management during pregnancy.
- Non-invasive treatments should be attempted first, with surgical ligation reserved for refractory cases post-delivery.