Type:
Educational Exhibit
Keywords:
Varices, Pelvic floor dysfunction, Education and training, Screening, Education, Cost-effectiveness, Ultrasound-Power Doppler, Ultrasound-Colour Doppler, Ultrasound, Vascular, Pelvis, Genital / Reproductive system female
Authors:
M. B. Campagno1, S. A. Rivadeneira2, D. M. V. Arch3; 1Buenos Aires/AR, 2C.A.B.A., CA/AR, 3C.A.B.A./AR
DOI:
10.26044/ecr2019/C-1731
Background
Chronic pelvic pain affects about ten million women in the world,
of which 70% remain without etiological diagnosis and therefore without adequate treatment despite technological advances,
becoming a relevant problem in the fertile age,
that becomes 10% of the external consultation of specialties such as gynecology.1Whiteley et al.
published: "It has previously been shown to be present in one in five women who present with leg varicose veins and have had previous vaginal deliveries"2
For the joint analysis of the Pelvic Congestion Syndrome(PCS),
the first study should be a pelvic ultrasound to visualize the gonadal vessels.
The Transabdominal and the transvaginal US can be performed.2 In our experience,
we highly recommend the TV-US in "standing-position".
As well as,
we should focus on the internal,
common and the iliac-femoral veins should be evaluated for obstruction,
also looking for another etiologies such as May-Thurner and the Nutcracker syndrome.3