Pelvic varicies as a cause of the syndrome of chronic pain


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Abstract

Pelvic vein incompetence is often associated with typical clinical signs of congestion as well as pelvic pain. This clinical entity is often underestimated and patients suffering from pain related to pelvic varicosities undergo a long and inconclusive diagnostic workup before the exact cause of symptoms is recognized. This article reviews currently available diagnostic, therapeutic and surgical options.

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About the authors

V. S Fomin

FSBEI HE «Moscow State Medical Stomatological University n.a. A.I. Evdokimov» of RMH

Email: wlfomin83@gmail.com
PhD, Associate professor of the Department of Surgical Diseases and Clinical Angiology

M. N Fomina

FSBEI HE «Moscow State Medical Stomatological University n.a. A.I. Evdokimov» of RMH

References

  1. Ахметзянов Р.В., Бредихин РА, Гаптраванов А.Г., Фомина Е.Е. Исторические аспекты диагностики и лечения варикозной болезни малого таза. Обзор литературы. Амбулаторная хирургия. 2016;1:36-43.
  2. Шуликовская И.В. Варикозное расширение вен малого таза у женщин. Вопросы этиологии, патогенеза, клиники и диагностики заболевания (обзор литературы). Бюллетень ВЦНС СО РАМН. 2011;4(80):353-56.
  3. Phillips D., Deipolyi A.R., Hesketh R.L., Midia M., Oklu R. Pelvic congestion syndrome: aetiology of pain, diagnosis, and clinical management. J Vasc interv Radiol. 2014;25(5):725-33.
  4. Taylor H.C., Wright H. Vascular congestion and hyperaemia. Am. J. Obst. Gynecol. 1949;57:211-30.
  5. Craig O., Hobbs J.T. Valvular phlebography in the pelvic congestion syndrome. Clin. Radiol. 1974;24:517-25.
  6. Asciutto G. Pelvic vein incompetence: a review of diagnosis and treatment. Phlebolymphology. 2012;19(2):84-90.
  7. Bergan J.J., Pascarella L., Schmid-Schönbein G.W. Pathogenesis of primary chronic venous disease: insights from animal models of venous hypertension. J. Vasc. Surg. 2008;47(1): 183-92.
  8. Соколов А.А. Варикозная болезнь малого таза. Акушерство и гинекология. 2008;5:15-18.
  9. Фомина Е.Е, Ахметзянов Р.В., Тухбатуллин М.Г Методология ультразвукового исследования при варикозной болезни вен таза. Практическая медицина. 2016; 9(101):53-58.
  10. Gloviczki P., Comerota A.J., Dalsing M.C.,Eklof B.G., Gillespie D.L., Gloviczki M.L., Lohr J.M., McLafferty R.B., Meissner M.H., Murad M.H., Padberg F.T., Pappas P.J., Passman M.A., Raffetto J.D., Vasquez M.A., Wakefield T.W. The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. Journal of Vascular Surgery. 2011;53(5):2S-48S.
  11. Liddle A.D., Davies A.H. Pelvic congestion syndrome: chronic pelvic pain caused by ovarian and internal iliac varices. Phlebology. 2007;22(3):100-104.
  12. Nicolaides A.N., Allegra C., Bergan J., Bradbury A., Cairols M., Carpentier P., Comerota A., Delis C., Eklof B., Fassiadis N., Georgiou N., Geroulakos G., Hoffmann U., Jantet G., Jawien A., Kakkos S., Kalodiki E., Labropoulos N., Neglen P., Pappas P., Partsch H., Perrin M., Rabe E., Ramelet A.A., Vayssaira M., ioannidou E., Taft A. Management of chronic venous disorders of the lower limbs: guidelines according to scientific evidence. int. Angiol. 2008;27(1):1-59.
  13. Champaneria R., Shah L., Moss J., Gupta J.K., Birch J., Middleton L.J., Daniels J.P. The relationship between pelvic vein incompetence and chronic pelvic pain in women: systematic reviews of diagnosis and treatment effectiveness. Health Technology Assessment. 2016;20(5):108.
  14. Cheong Y., Stones W.R. Chronic pelvic pain: aetiology and therapy. Best Pract. Res. Clin. Obstet. Gynaecol. 2006;20(5):695-711.
  15. Gulleroglu K., Gulleroglu B., Baskin E. Nutcracker syndrome. World J. Nephrology. 2014;3(4):277-81.
  16. Kies D.D., Kim H.S. Pelvic congestion syndrome: a review of current diagnostic and minimally invasive treatment modalities. Phlebology. 2012;27(1):52-7.
  17. Гаврилов С.Г., Бутенко О.И., Черкашин М.А. Варикозная болезнь вен малого таза (современное состояние проблемы). Анналы хирургии. 2003;1:7-12.
  18. Исламова А.О. Хроническая тазовая боль у женщин с тазовым варикозом в практике врача -гинеколога. Медицинские аспекты здоровья женщины. 2012;58(6/7):47-9.
  19. Gettman M.T., Lotan Y., Cadeddu J. Laparoscopic treatment of ovarian vein syndrome. JSLS. 2003;7:257-60.
  20. Hartung O. Nutcracker syndrome. Phlebo-lymphology. 2009;16(2):246-52.
  21. Perrin M., Ramelet A.A. Pharmacological Treatment of Primary Chronic Venous Disease: Rationale, Results and Unanswered Questions. European Journal of Vascular and Endovascular Surgery. 2011;41(1):117-25.
  22. Bittles M.A., Hoffer E.K. Gonadal Vein Embolization: Treatment of Varicocele and Pelvic Congestion Syndrome. Seminars in interventional Radiology. 2008;25(3):261-70.
  23. Kim H.S., Malhotra A.D., Rowe P.C., Lee J.M., Venbrux A.C. Embolotherapy for Pelvic Congestion Syndrome: Long-term Results. J. Cardiovasc. Intervent. Radiol. 2006;17(2): 289-97.
  24. Kwon S.H., Oh J.H., Ko K.R., Park H.C., Huh J.Y. Transcatheter ovarian vein embolization using coils for the treatment of pelvic congestion syndrome. J. Cardiovasc. Intervent. Radiol. 2007;30(4):655-61.
  25. Гаврилов С.Г., Чепуров А.К., Янина А.М. Аортомезентериальная компрессия левой почечной вены как фактор развития варикозной болезни вен таза. Анналы хирургии. 2011;5:18-23.

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