Left Ovarian Vein Drainage Variant: An Exceptional Cause of Pelvic Congestion Syndrome

A 32 year old female with unexplained chronic pelvic pain, postcoital discomfort, and a history of lower limb varicose veins (not treated) underwent triple phase abdomino-pelvic computed tomography angiography (CTA). CTA revealed a dilated left ovarian vein (LOV) of 8  mm diameter (panel A, black arrow) with a compressed terminal retro-aortic course (panel B, arrowhead) and direct drainage into the inferior vena cava without communication with the otherwise normal left renal vein (panel B, white arrow), an exceptional cause (not previously described) of pelvic c ongestion syndrome.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Coup D'Oeil Source Type: research