Sonographic View of Pelvic Congestion Syndrome

Smith, Marie
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A particular pelvic pathology that may not be recognized, and is easily missed, is pelvic congestion syndrome. There is limited understanding about this condition, and many sonographers may have limited to no knowledge of this disorder. This article is to bring an awareness of this condition and the sonographic images necessary to obtain, so that further testing and possible treatment could relieve the patient of symptoms. Since a pelvic sonogram is generally the first modality of choice when an assessment of the pelvic organs is ordered, detailed imaging of all the pelvic region should be evaluated, including the vessels within this area. When evaluating a patient with chronic pelvic pain and visualizing any dilated vessels during a transabdominal or transvaginal sonogram, further imaging and documentation are essential. With this additional information, further testing with computed tomography or magnetic resonance imaging, along with a venogram, may result in a definitive diagnosis of pelvic congestion syndrome to facilitate treatment.
Smith, M. (2017). Sonographic view of pelvic congestion syndrome. Journal of Diagnostic Medical Sonography, 33(3), 193-198.