Fernández-Samos R, Zorita A, Ortega J M, Morán C, Morán O, Vázquez J, Vaquero F
Servicio de Angiología y Cirugía vascular, Complejo Hospitalario de León, Insalud, España.
Angiologia. 1993 Nov-Dec;45(6):203-9.
The varicocele is a disease recognized and studied in the man. Dilatation of the ovarian veins and the pelvic varicosities secondaries to a varicocele in the woman is a rarely described disease but, if it were researched, it could be more frequent. Diverse syndromes of chronic abdominal pain in the woman with unrecognized etiology and associated with urologic and/or gynecologic symptomatology could be caused by this pathology, but the absence of a clinical description difficult the diagnosis of the most part of cases. The practice of gonadal selective venographies shows a high percentage of dilatation of the gonadal veins associated to a dilatation of the pelvic veins and of the lower limbs veins. The study of the anatomy of the gonadal veins shows diverse anomalies respect to the classical descriptions. Furthermore, the varicocele could be the cause of a high part of the "essential" varicosities presents during the pregnancy. We present a case that instead of being treated by Services of Urology or Gynecology, it was treated by the Vascular Surgery Service. So, the literature about the respect was reviewed. We think that, some entities, like the feminine varicocele, ovarian vein syndrome, pelvic congestion syndrome chronic pelvic pain, pelvic varicosities, vulvar varicosities and some "essential" pregnant varicosities at the lower limbs could be enclosed into the same clinical entity (with a common etiology, physiopathology, clinical presentation and treatment). It should be intending to unify criteria (etiologic, diagnostic and therapeutics criteria) by the different Specialized Unities in such type of pathology.
精索静脉曲张是一种在男性中已被认识和研究的疾病。女性卵巢静脉扩张及继发于精索静脉曲张的盆腔静脉曲张是一种很少被描述的疾病，但如果对此进行研究，可能会发现其更为常见。病因不明且伴有泌尿系统和/或妇科症状的女性慢性腹痛的各种综合征可能由这种病理状况引起，但缺乏临床描述使得大多数病例难以诊断。性腺选择性静脉造影显示，性腺静脉扩张与盆腔静脉及下肢静脉扩张相关的比例很高。对性腺静脉解剖结构的研究显示，与经典描述相比存在多种异常。此外，精索静脉曲张可能是孕期出现的大部分“原发性”静脉曲张的原因。我们介绍一个病例，该病例不是由泌尿外科或妇科治疗，而是由血管外科治疗。因此，我们对相关文献进行了综述。我们认为，一些病症，如女性精索静脉曲张、卵巢静脉综合征、盆腔充血综合征、慢性盆腔疼痛、盆腔静脉曲张、外阴静脉曲张以及一些下肢“原发性”孕期静脉曲张，可能属于同一临床病症（具有共同的病因、病理生理学、临床表现和治疗方法）。不同专业科室应致力于统一此类病理状况的标准（病因、诊断和治疗标准）。
