Role of trans-abdominal and trans-perineal venous duplex ultrasound in cases of pelvic congestion syndrome

Abstract

BackgroundFor evaluation the role of trans-abdominal and trans-perineal venous duplex ultrasound in cases of pelvic congestion syndrome, fifty patients with pelvic congestion syndrome were included in the current research. All were evaluated by trans-abdominal and trans-perineal venous duplex.ResultsAn incompetent left gonadal vein was detected in all cases with a mean diameter (± SD) =\u20097.9\u2009±\u20091.1\u2009mm. The right gonadal vein was incompetent in 4 cases (8%) with a mean diameter (± SD) 5.9\u2009±\u20090.4\u2009mm.A refluxing proximal internal iliac vein was detected in 3cases (6%). Left renal vein nutcracker was present in 41cases (82%) while the left common iliac vein compression was present in 3 cases (6%).Vulvoperineal varicosities were seen in all cases {right side\u2009=\u2009(36%, n\u2009=\u200918), left side\u2009=\u2009(30%, n\u2009=\u200915), and bilateral\u2009=\u2009(34%, n\u2009=\u200917)}.Thigh extension of the vulvoperineal varicosities was present in (74%, n\u2009=\u200937).Round ligament varicosities were present in (6%, n\u2009=\u20093).ConclusionsTrans-abdominal and trans-perineal venous duplex offer a simple, noninvasive, and quick technique that can help in an accurate evaluation of the ovarian vein reflux, diameters as well as the presence of vulvoperineal, and round ligament varicosities, Moreover, it is useful in the assessment of the left renal and iliac veins compression.