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Pelvic congestion syndrome

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Chronic pelvic pain.

Patient Data

Age: 65 years
Gender: Female
ct

Multiple venous varicosities are seen in the left adnexa extending into the uterus and vagina fed by a dilated left ovarian vein arising from the left renal vein.

46×36 mm fat-containing mass on the right ovary most likely consistent with a dermoid cyst.

Case Discussion

The CT features are consistent with pelvic venous insufficiency also known as pelvic congestion syndrome.

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