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Radiologic findings of pelvic venous congestion in an adolescent girl with angiographic confirmation and interventional treatment

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Abstract

We present a case of pelvic venous congestion in a 13-year-old girl who complained of pelvic pain for 9 months. The diagnosis of pelvic congestion syndrome was suggested by imaging modalities, including sonography, CT and MRI, with classically described imaging findings. The girl underwent diagnostic laparoscopy, where visual inspection demonstrated congested pelvic veins and endometriosis. After removal of endometrial implants, the child’s pain persisted and she subsequently underwent venography and embolization of the ovarian veins. We found no literature describing pelvic venous congestion (PVC) in children. Knowledge that PVC exists in children is important, particularly for pediatric radiologists who are imaging patients with complaints of pelvic pain.

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Authors and Affiliations

  1. Department of Radiology, New York University Langone Medical Center, 550 First Ave., New York, NY, 10016, USA

    Carolyn Wassong & Sarah S. Milla

  2. Department of Endocrinology, New York University Langone Medical Center, New York, NY, USA

    Bina Shah

  3. New York Endometriosis Center, New York, NY, USA

    Masahide Kanayama

  4. Department of Radiology, Division of Vascular and Interventional Radiology, Mayo Clinic, Rochester, MN, USA

    Haraldur Bjarnason

Authors
  1. Carolyn Wassong
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  2. Bina Shah
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  3. Masahide Kanayama
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  4. Haraldur Bjarnason
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  5. Sarah S. Milla
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Corresponding author

Correspondence to Carolyn Wassong.

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Wassong, C., Shah, B., Kanayama, M. et al. Radiologic findings of pelvic venous congestion in an adolescent girl with angiographic confirmation and interventional treatment. Pediatr Radiol 42, 636–640 (2012). https://doi.org/10.1007/s00247-011-2232-y

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  • DOI: https://doi.org/10.1007/s00247-011-2232-y

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