MRI and venographic aspects of pelvic venous insufficiency

L M Leiber; F Thouveny; A Bouvier; M Labriffe; E Berthier; C Aubé; S Willoteaux

doi:10.1016/j.diii.2014.01.012

MRI and venographic aspects of pelvic venous insufficiency

Diagn Interv Imaging. 2014 Nov;95(11):1091-102. doi: 10.1016/j.diii.2014.01.012. Epub 2014 Mar 12.

Authors

L M Leiber¹, F Thouveny², A Bouvier², M Labriffe², E Berthier², C Aubé², S Willoteaux²

Affiliations

¹ Radiology Department, centre hospitalier universitaire d'Angers, 4, rue Larrey, 49100 Angers, France. Electronic address: [email protected].
² Radiology Department, centre hospitalier universitaire d'Angers, 4, rue Larrey, 49100 Angers, France.

PMID: 24630150
DOI: 10.1016/j.diii.2014.01.012

Abstract

Pelvic venous insufficiency is a frequent pathology in multiparous women. Diagnosis can be made by chance or suspected in the case of symptoms suggesting pelvic congestion syndrome or atypical lower limb varicosity fed by pelvic leaks. After ultrasound confirmation, dynamic venography is the reference pretherapeutic imaging technique, searching for pelvic varicosity and possible leaks to the lower limbs. MRI is less invasive and allows a three-dimensional study of the varicosity and, with dynamic angiography, it can assess ovarian reflux. It also helps to plan or even sometimes avoid diagnostic venography.

Keywords: Magnetic resonance angiography; Pelvic pain; Varicose veins; Venography.

Publication types

Randomized Controlled Trial

MeSH terms

Diagnosis, Differential
Female
Humans
Image Enhancement / methods*
Imaging, Three-Dimensional
Magnetic Resonance Angiography / methods*
Parity
Pelvis / blood supply*
Phlebography / methods*
Varicose Veins / diagnosis*
Venous Insufficiency / diagnosis*