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Pelvic congestion syndrome

Case contributed by Dr Mostafa El-Feky

Presentation

Dyspareunia

Patient Data

Age: 45 years
Gender: Female
Ultrasound

Multiple dilated and tortuous parauterine veins with reflux. They reach 8 mm on left side and 5 mm on right side. Normal uterus with small Nabothian cyst.

Case Discussion

Pelvic congestion syndrome is a common cause of chronic pelvic pain in women. It is considered when there are multiple dilated, tortuous parauterine veins measuring more than 4 mm in diameter with reflux.

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