الفهرس 
The role of imaging in evaluation of pelvic congestion syndrome prior to embolization
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Abstract
Background: Pelvic congestion syndrome (PCS) is a problematic cause of chronic pelvic pain in women. Pelvic congestion syndrome is thought to result from retrograde flow in an incompetent ovarian vein. Patients describe a variety of symptoms including pelvic pain, dyspareunia, bladder irritability and vulva, buttock and lower limb varicosities and is characteristically seenin multiparous women.(Ball E. et al., 2012) Methods: Thirty nine patients complaining of pelvic congestion syndrome (PCS) underwent ultrasound and Doppler examination of pelvic and gonadal veins.The examination was done at different times along the menstrual cycle with preparations to decrease bowel distension by gases.Results: The patients who were suspected to have pelvic congestion syndrome met the criteria of diagnosis with variable degrees of congestion.The diameter of the ovarian vein is significantly related to the diagnosis of the pelvic congestion syndrome together with the presence of pelvic varices.Conclusion: Ultrasonographic and color duplexexaminations are considered the initial investigations for the diagnosis of PCS in patients with chronic pelvic pain making the further assessment by ovarian venography is for interventional managementof diagnosed cases