Motta-Ramírez Gaspar Alberto, Ruiz-Castro Eloise, Torres-Hernández Verónica, Herrera-Avilés Ricardo Arturo, Rodríguez-Treviño Carlos
Médico radiólogo, adscrito al Hospital Militar Regional de Torreón, Coahuila.
Ginecol Obstet Mex. 2013 Jul;81(7):389-402.
Pelvic congestion syndrome is a condition not yet fully understood, hence provokes controversy. It is cause of up to 40% of visits to the doctor; affecting women of reproductive age who experience non-specific symptoms such as characteristic pelvic pain with more than six months of evolution and difficult to treat dyspareunia in which even narcotics are insufficient for control.
To recognize the vascular anatomy of the pelvic cavity and identify the characteristics of pelvic congestion syndrome demonstrable by computed tomography.
A descriptive, observational, cross-sectional and retrospective study at Hospital Angeles del Pedregal, in the Department of Radiology and Imaging with patients who reported imaging studies with key findings to recognize the pelvic congestion syndrome. All women with incidental finding of abnormal dilation of the gonadal vein were included, allowing to suggest pelvic congestion syndrome as a possible diagnosis.
There were 17 cases (0.9%) of patients with abdominopelvic pain syndrome who underwent multislice computed tomography to 3 mm, with extension from the lung bases to the pubic symphysis. Predominance of left gonadal vein is conditioned by the anatomical arrangement of the left gonadal vein. During the arterial phase opacification of the gonadal vein was identified in 11 patients (65%), a circumstance that correlates with retrograde venous flow valve incompetence. In computed tomography findings of pelvic congestion syndrome were also identified 12 patients (70%) with abdominopelvic pain syndrome.
Pelvic congestion syndrome is a rare condition that radiologists do not consider because they don't know it and the clinical diagnoses give no clinical data to suggest this condition. But if one takes into account the literature, it refers to it as the origin of up to 40% of the visits to the gynecologist, and there may be more cases that will increase its prevalence.
盆腔淤血综合征是一种尚未被完全理解的病症，因此引发了争议。它是高达40%的就诊原因；影响育龄期女性，她们会经历非特异性症状，如特征性盆腔疼痛且病程超过六个月，以及难以治疗的性交困难，甚至使用麻醉剂也不足以控制。
认识盆腔的血管解剖结构，并识别通过计算机断层扫描可显示的盆腔淤血综合征的特征。
在佩德雷加尔天使医院放射科和影像科进行一项描述性、观察性、横断面和回顾性研究，研究对象为报告有关键发现的影像学检查以识别盆腔淤血综合征的患者。纳入所有偶然发现性腺静脉异常扩张的女性，从而将盆腔淤血综合征作为可能的诊断提出。
有17例（0.9%）腹痛盆腔疼痛综合征患者接受了层厚3毫米的多层计算机断层扫描，范围从肺底部延伸至耻骨联合。左侧性腺静脉占优势是由左侧性腺静脉的解剖结构决定的。在动脉期，11例患者（65%）性腺静脉显影，这种情况与静脉逆流瓣膜功能不全相关。在计算机断层扫描中，12例（70%）腹痛盆腔疼痛综合征患者也被发现有盆腔淤血综合征的表现。
盆腔淤血综合征是一种罕见病症，放射科医生未予考虑，因为他们不了解该病症，且临床诊断未提供提示该病症的临床数据。但如果参考相关文献，它被认为是高达40%的妇科就诊的病因，可能还有更多病例，这将增加其患病率。
