Presentation
Chronic lower abdominal pain not confined to a certain area, and not related to her menstrual cycle.
Patient Data
The liver and spleen are normal in size and have homogeneous texture without evidence of focal lesion.
Pancreas, adrenal glands, and kidneys appear normal.
There is no evidence of abdominal or pelvic mass lesions, lymph node enlargement or fluid collections.
There is significant vascularity and dilated tortuous "varicose like" veins at the left side of the pelvis arising from the uterus and ovary with the left ovarian vein appears thick and tortuous draining into the left renal vein.
The findings are consistent with pelvic congestion syndrome without evidence of pelvic masses, lymph node enlargement or fluid collections
Case Discussion
This patient presented through A&E with chronic lower abdominal pain not confined to a certain area, and not related to her menstrual cycle. Abdomen and pelvis ultrasound was requested to evaluate the ovaries and the appendix, which turned to be negative but pelvic free fluid was detectable. Further evaluation by CT was recommended by the physician on call and demonstrated findings of pelvic congestion syndrome. However, the supine position during scanning may underestimate the size of venous dilatation.
Unable to process the form. Check for errors and try again.