Pelvic congestion syndrome: A review of current clinical practice


Pelvic congestion syndrome
Pelvic pain




Nicholson T, Basile A. Pelvic congestion syndrome, who should we treat and how? Tech Vasc Interv Radiol 2006;9(1):19-23. Available from:

Gynaecologists RCoOa. Chronic Pelvic Pain, Initial Management. 2nd ed. Royal College of Obstetricians and Gynaecologists. 2012

Ignacio EA, Dua R, Sarin S, et al. Pelvic congestion syndrome: diagnosis and treatment. Semin Intervent Radiol 2008;25(4):361-8. Available from:

Beard RW, Highman JH, Pearce S, Reginald PW. Diagnosis of pelvic varicosities in women with chronic pelvic pain. Lancet 1984;2(8409):946-9. Available from:

MA R. Traite pratique d’anatomie medico-chirargicale. Chamerot et Lauwereyns. 1857

Taylor HC Jr. Vascular congestion and hyperemia; their effect on structure and function in the female reproductive system. Am J Obstet Gynecol 1949;57(2):211-30. Available from:

Liddle AD, Davies AH. Pelvic congestion syndrome: chronic pelvic pain caused by ovarian and internal iliac varices. Phlebology 2007;22(3):100-4. Available from:

Maleux G, Stockx L, Wilms G, Marchal G. Ovarian vein embolization for the treatment of pelvic congestion syndrome: long-term technical and clinical results. J Vasc Interv Radiol 2000;11(7):859-64. Available from:

Beard RW, Reginald PW, Wadsworth J. Clinical features of women with chronic lower abdominal pain and pelvic congestion. Br J Obstet Gynaecol 1988;95(2):153-61. Available from:

van der Vleuten CJ, van Kempen JA, Schultze-Kool LJ. Embolization to treat pelvic congestion syndrome and vulval varicose veins. Int J Gynaecol Obstet 2012;118(3):227-30. Available from:

Rane N, Leyon JJ, Littlehales T, et al. Pelvic congestion syndrome. Curr Probl Diagn Radiol 2013;42(4):135-40. Available from:

Ahlberg NE, Bartley O, Chidekel N. Circumference of the left gonadal vein. An anatomical and statistical study. Acta Radiol Diagn (Stockh) 1965;3(6):503-12. Available from:

Ahlberg NE, Bartley O, Chidekel N. Right and left gonadal veins. An anatomical and statistical study. Acta Radiol Diagn (Stockh) 1966;4(6):593-601. Available from:

Rozenblit AM, Ricci ZJ, Tuvia J, Amis ES Jr. Incompetent and dilated ovarian veins: a common CT finding in asymptomatic parous women. AJR Am J Roentgenol 2001;176(1):119-22. Available from:

Hiromura T, Nishioka T, Nishioka S, Ikeda H, Tomita K. Reflux in the left ovarian vein: analysis of MDCT findings in asymptomatic women. AJR Am J Roentgenol 2004;183(5):1411-5. Available from:

Nascimento AB, Mitchell DG, Holland G. Ovarian veins: magnetic resonance imaging findings in an asymptomatic population. J Magn Reson Imaging 2002;15(5):551-6. Available from:

Ball E, Khan KS, Meads C. Does pelvic venous congestion syndrome exist and can it be treated? Acta Obstet Gynecol Scand 2012;91(5):525-8. Available from:

Monedero JL, Ezpeleta SZ, Perrin M. Pelvic congestion syndrome can be treated operatively with good long-term results. Phlebology 2012;27 Suppl 1:65-73. Available from:

Stones RW. Pelvic vascular congestion-half a century later. Clin Obstet Gynecol 2003;46(4):831-6. Available from:

Rundqvist E, Sandholm LE, Larsson G. Treatment of pelvic varicosities causing lower abdominal pain with extraperitoneal resection of the left ovarian vein. Ann Chir Gynaecol 1984;73(6):339-41

Meneses L, Fava M, Diaz P, et al. Embolization of incompetent pelvic veins for the treatment of recurrent varicose veins in lower limbs and pelvic congestion syndrome. Cardiovasc Intervent Radiol 2013;36(1):128-32. Available from:

Beard RW, Kennedy RG, Gangar KF, et al. Bilateral oophorectomy and hysterectomy in the treatment of intractable pelvic pain associated with pelvic congestion. Br J Obstet Gynaecol 1991;98(10):988-92. Available from:

Edwards RD, Robertson IR, MacLean AB, Hemingway AP. Case report: pelvic pain syndrome – successful treatment of a case by ovarian vein embolization. Clin Radiol 1993;47(6):429-31. Available from:

Kim HS, Malhotra AD, Rowe PC, Lee JM, Venbrux AC. Embolotherapy for pelvic congestion syndrome: long-term results. J Vasc Interv Radiol 2006;17(2 Pt 1):289-97. Available from:

Kwon SH, Oh JH, Ko KR, Park HC, Huh JY. Transcatheter ovarian vein embolization using coils for the treatment of pelvic congestion syndrome. Cardiovasc Intervent Radiol 2007;30(4):655-61. Available from:

Chung MH, Huh CY. Comparison of treatments for pelvic congestion syndrome. Tohoku J Exp Med 2003;201(3):131-8. Available from: