Clinical presentation and evaluation of pelvic venous disorders in women

The term pelvic venous disorders (PeVD) describes a group of related clinical entities with overlapping clinical presentations that were previously characterized by separate imprecise syndromic terminology. The clinical manifestations of PeVD may variously include chronic pelvic pain; pelvic origin extra-pelvic lower extremity and genital varices; lower extremity pain and swelling; and left flank pain and hematuria. This manuscript focuses on the primary manifestations of PeVD in women – chronic pelvic pain and pelvic origin lower extremity and vulvar varices – and will review the underlying pathophysiology and related complicating factors (such as maladaptive pain responses) to explain the variety of clinical presentations.

Source: Techniques in Vascular and Interventional Radiology - April 15, 2021 Category: Radiology Authors: Neil M. Khilnani, Ronald S. Winokur, Kim L. Scherer, Mark H. Meissner Source Type: research