AI Article Synopsis
- Pelvic venous disorders are frequently misdiagnosed due to varying symptoms that mimic other conditions and lack of a standardized diagnostic method.
- A 25-year-old woman experienced severe vulvodynia and other pelvic symptoms, leading to the discovery of abnormal pelvic varices and a referral for treatment of nutcracker syndrome.
- It is important for healthcare providers to consider pelvic venous disorders in patients exhibiting symptoms like vaginal pain or chronic irritation for timely diagnosis and treatment.
Article Abstract
Background: Pelvic venous disorders are often undiagnosed due to the symptom variability and similarity to other disease presentations. 'Pelvic congestion syndrome' is a term often used as a diagnosis of exclusion, since there is currently no standardized diagnostic approach for pelvic venous disorders, which further delays treatment.
Case: A 25-year-old woman with treatment-refractory vulvodynia presented with symptoms that included left-sided vaginal wall pain, pruritis, dysmenorrhea, dyspareunia, muscle tension, and a chronic vaginal ulceration. Abnormal pelvic varices were discovered, and she was referred to vascular surgery for treatment of nutcracker syndrome causing ovarian vein reflux and abnormal engorgement of pelvic varices.
Conclusion: Patients presenting with signs of pelvic venous insufficiency such as vaginal pruritis, irritation, pain, recurrent vaginitis, or chronic ulcerations should be examined for pelvic venous disorders.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6071376 | PMC |
| http://dx.doi.org/10.1016/j.crwh.2018.e00071 | DOI Listing |
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