COMBINED OVARIAN AND HYPOGASTRIC VEIN REFLUX CAUSING PELVIC VENOUS DISEASE

1. COMBINED OVARIAN AND
HYPOGASTRIC VEIN REFLUX
CAUSING PELVIC VENOUS DISEASE
Gerardo Peón, MD
Clínica de Mérida
Mérida,Yucatán, MÉXICO

2. DISCLOSURES
• None for this matter

3. Case Presentation
• PPC
• 48 years old
• Female
• High PerformanceAthlete
• 3 times National Iron-Woman
Champion
• 3 Pregnancies / Normal deliveries
• NoTubal Ligation

4. Case Presentation
• 3 years with Chronic Pelvic Pain
• Pelvic Heaviness
• Secondary Dysmenorrhea
• Dyspareunia
• Post-coital Pain
• PainfulVulvarVaricoseVeins
• Specialy during bicycle training

5. Transvaginal Doppler US

6. Angiogram

7. Angiogram

8. Angiogram

9. Foam sclerotherapy

10. Coil embolization

11. Left Common Iliac Vein
IVUS
70% Stenosis

13. Stent
Placement

14. Conclusions
- PelvicVenous Disease is a common cause of Chronic
Pelvic Pain &VulvarVaricosities
- Causes of PVD include OvarianVein Reflux, IliacVein
Obstruction with Hypogastric Reflux and Nuttcracker
Syndrome
- Causes of PVD can often be more than one
- Every cause of PVD has its own indication for
treatment
- Be aware of different sites of obstruction/reflux when
PVD intervention is indicated

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