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Pelvic congestion syndrome

Case contributed by Dr Saeed Soltany Hosn

Presentation

Chronic pelvic pain and dysmenorrhea

Patient Data

Age: 30 years
Gender: Female
CT
CT scan demonstrates multiple bilateral tortuous veins which are encompassing the uterus.

Case Discussion

Features consistent with pelvic congestion syndrome in a 30-year-old female with dysmenorrhea.

The diagnosis of pelvic congestion syndrome is established by the demonstration of multiple dilated, tortuous parauterine veins with a width >4 mm or an ovarian vein diameter >8 mm 1.

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