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Imaging-Based Approach to Venous-Origin Chronic Pelvic Pain.

Vaneeza Moosa1, Tiffany Ni2, Inbar Friedman3

  • 1Department of Medicine, University of Calgary, Calgary, AB, Canada.

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
|April 29, 2025
PubMed
Summary
This summary is machine-generated.

Pelvic venous disorders (PeVD) contribute to chronic pelvic pain (CPP) in women. Advanced imaging aids diagnosis, with minimally invasive treatments offering symptom relief.

Keywords:
diagnostic imagingpelvic painpelvic venous congestionpelvic venous disordervenous disease

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Area of Science:

  • Vascular Medicine
  • Radiology
  • Gynecology

Background:

  • Chronic pelvic pain (CPP) affects many women globally, with pelvic venous disorders (PeVD) being an underdiagnosed cause.
  • PeVD involves venous reflux or obstruction, leading to venous hypertension, congestion, and pain, often presenting non-specifically.

Purpose of the Study:

  • To review the pathophysiology, diagnostic imaging modalities, and evolving management strategies for PeVD in the context of CPP.
  • To emphasize the importance of early recognition and multidisciplinary intervention for PeVD.

Main Methods:

  • Review of current literature on PeVD and CPP.
  • Discussion of advanced imaging techniques including ultrasound, CT/MR venography, and selective venography.
  • Exploration of minimally invasive endovascular therapies and surgical interventions.

Main Results:

  • Advanced imaging is crucial for diagnosing PeVD and differentiating it from other CPP causes.
  • Selective venography is the gold standard for assessing reflux and guiding interventions.
  • Multidisciplinary approaches and emerging endovascular techniques improve patient outcomes.

Conclusions:

  • PeVD is a significant, often overlooked, cause of CPP requiring increased clinical awareness and standardized diagnostic criteria.
  • Early diagnosis and intervention, utilizing advanced imaging and minimally invasive treatments, are key to managing PeVD effectively.
  • A collaborative approach among specialists is essential for comprehensive patient care.