Left ovarian vein dilation or pelvic congestion syndrome secondary to abdominal aortic dissection: incidental findings on CT angiography

Abstract. Knowledge of the anatomy of the pelvic, gonadal and renal veins is important to understand pelvic congestion syndrome (PCS) and left renal vein compression syndrome (LRCS), which is also known as the nutcracker syndrome. LRCS is related to PCS and to the presence of vulvar, vaginal and pudendal varicose veins. The diagnosis of the two syndromes is difficult, and usually achieved with CT- or phlebography. The gold standard is the intravenous pressure measurement using conventional phlebography. The definition of PCS is described as pelvic pain, aggravated in the standing position and lasting for more than 6 months. Pain in the left flank and microhaematuria is seen in patients with LRCS. Women with multiple pregnancies are at increased risk of developing varicose vein recurrences with pelvic drainage and ovarian vein reflux after crossectomy and stripping of the great saphenous vein. The therapeutic options are: conservative treatment (medroxyprogesteron) or interventional (coiling of the ovarian vein) or operative treatment (clipping of the ovarian vein). Controlled prospective trials are needed to find the best treatment.

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A novel technique for the treatment of a ruptured para-anastomotic thoracic aortic aneurysm in the presence of a chronic abdominal aortic dissection.

Journal of Vascular Surgery Cases and Innovative Techniques ◽

10.1016/j.jvscit.2021.03.005 ◽

2021 ◽

Author(s):

Hakam Sunoqrot ◽

Daniel Silverberg ◽

Haitam Hater ◽

Abu Rmeileh Ahmad ◽

Moshe Halak

Keyword(s):

Aortic Aneurysm ◽

Aortic Dissection ◽

Thoracic Aortic Aneurysm ◽

Novel Technique ◽

Abdominal Aortic ◽

Abdominal Aortic Dissection

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Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling

Journal of Vascular Surgery ◽

10.1016/j.jvs.2015.01.027 ◽

2015 ◽

Vol 61 (6) ◽

pp. 1424-1431 ◽

Cited By ~ 11

Author(s):

Qian-qian Zhu ◽

Dong-lin Li ◽

Ming-chun Lai ◽

Xu-dong Chen ◽

Wei Jin ◽

...

Keyword(s):

Aortic Dissection ◽

Endovascular Treatment ◽

Abdominal Aortic ◽

Abdominal Aortic Dissection ◽

Aortic Remodeling

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Ovarian Vein Embolization for the Treatment of Postmenopausal Pelvic Congestion Syndrome

Journal of Minimally Invasive Gynecology ◽

10.1016/j.jmig.2008.09.490 ◽

2008 ◽

Vol 15 (6) ◽

pp. 135S

Author(s):

S.K. Jung ◽

C.Y. Huh ◽

Y.J. Choi ◽

N.H. Jung

Keyword(s):

Ovarian Vein ◽

Pelvic Congestion Syndrome ◽

Pelvic Congestion

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Endovascular management of a mycotic group A streptococcal abdominal aortic dissection

BJR|case reports ◽

10.1259/bjrcr.20150332 ◽

2017 ◽

Vol 3 (1) ◽

pp. 20150332

Author(s):

John Colville ◽

Manmohan Madan ◽

Khalid Bashaeb ◽

Riza Ibrahim ◽

Abysinia Sibanda

Keyword(s):

Aortic Dissection ◽

Endovascular Management ◽

Abdominal Aortic ◽

Group A ◽

Abdominal Aortic Dissection

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Endovascular Treatment of Isolated Chronic Abdominal Aortic Dissection

Acta Médica Portuguesa ◽

10.20344/amp.6645 ◽

2016 ◽

Vol 29 (3) ◽

pp. 224

Author(s):

Rui Machado ◽

Duarte Rego ◽

Luís Loureiro ◽

Rui Almeida

Keyword(s):

Aortic Dissection ◽

Endovascular Treatment ◽

Rare Event ◽

Endovascular Intervention ◽

Adequate Treatment ◽

Initial Surgery ◽

Abdominal Aortic ◽

Long Term Follow Up ◽

Abdominal Aortic Dissection

Isolated acute abdominal aortic dissection is a relatively rare event. Its natural history is not fully understood and its optimal treatment is not established. Open surgery represents the most described treatment but endovascular intervention has had increasing application. Isolated chronic abdominal aortic dissection is even less described in the literature. We describe three patients with isolated chronic abdominal aortic dissection who underwent endovascular treatment in our institution. Mean age at presentation was 82 years. Indication for surgical intervention was aneurismal degeneration. Mean aortic diameter at presentation was 46.7 mm. There was no perioperative mortality or reinterventions. Mean follow-up was 5.3 years (2-12 years). Late reintervention was needed in one patient, eight years after initial surgery, due to type 1 endoleak. According to our experience, endovascular intervention represents an effective and durable treatment option in isolated chronic abdominal aortic dissection. However, long-term follow-up is mandatory. Furthermore, larger studies are still needed to understand this disease and its adequate treatment.

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