case report and review of the literature: Pelvic congestion syndrome

ABSTRACT

Pelvic congestion syndrome [PCS] is a well described, but frequently overlooked cause of chronic pelvic pain. It is manifested by pelvic pain of variable intensity that is aggravated by prolonged standing, fatigue, menstruation or intercourse.Although the condition has been described since the middle of the nineteenth century, the exact cause of the condition is not fully understood. Recent advances in imaging and laparoscopy have helped in achieving an accurate diagnosis. Surgical procedures are not always helpful in managing cases of pelvic varices. The most recent breakthrough has been the management of gonadal varicosities by an embolization technique. This case was first suspected following a pelvic ultrasound study. The diagnosis was confirmed by venography and embolization was performed in the Radiology Depar tment. This treatment modality is the first ever in the Kingdom of Bahrain. It shows specialized skills can satisfactorily cure a hither to difficult disease with simple minimally invasive techniques