Kanchan Shadani, Raisa Altaf, Sadaf Nasir, Ashok Kumar, Imtiaz Ali Panwhar, Saman Anwar.
Pelvic venous congestion with extensive parametrial and perivaginal varicosities during pregnancy: MRI findings of a rare case.
Pak J Radiol Jan ;32(1):51-4.

Pelvic venous congestion syndrome is a rare syndrome presenting mostly in females with a constellation of signs and symptoms including dyspareunia, dysmenorrhea, pelvic pain, dysuria and varicose veins in the vaginal and vulvar regions. Although it is an infrequent presentation during pregnancy, only 2-4% develop vulvar varicose while the incidence of vaginal varicose is rarer.1 These varices develop mostly during the second and third trimesters and may show spontaneous resolution after pregnancy, however present a threat to the patient in case of bleed.3 It is therefore crucial for the radiologists to be aware of such findings while evaluating patients with symptoms of pelvic venous congestion syndrome. Here we present a case of a pregnant female with imaging findings consistent with pelvic venous congestion with parametrial and perivaginal varicosities.

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