Pelvic Venous Disorders: An Update in Terminology, Diagnosis, and Treatment

Meghan R. Clark; Amy C. Taylor

doi:10.1055/s-0043-1771041

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2023; 40(04): 362-371
DOI: 10.1055/s-0043-1771041

Review Article

Pelvic Venous Disorders: An Update in Terminology, Diagnosis, and Treatment

Meghan R. Clark

¹Division of Vascular and Interventional Radiology, Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia

,

Amy C. Taylor

¹Division of Vascular and Interventional Radiology, Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia

› Author Affiliations

Abstract

Pelvic venous disorder (PeVD) is a term that encompasses all the interrelated causes of chronic pelvic pain (CPP) and perineal/lower extremity varicose veins of pelvic venous origin historically known as nutcracker syndrome, pelvic congestion syndrome, and May-Thurner syndrome, resulting in a more precise diagnosis that accounts for the underlying pathophysiology and anatomy. PeVD manifests as CPP with associated vulvar and lower-extremity varicosities, left flank pain and hematuria, and lower extremity pain and swelling secondary to obstruction or reflux in the left renal, ovarian, or iliac veins. This article will focus specifically on the most current nomenclature, evaluation, and management of CPP of venous origin.

Keywords

pelvic venous disease - pelvic pain - embolization - sclerotherapy - interventional radiology - women's health

Full Text

References

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