Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.190017
Jornal Vascular Brasileiro
Review Article

Tratamento endovascular de síndrome congestiva venosa pélvica em paciente com duplicação de veia cava inferior e anatomia venosa pélvica incomum: revisão bibliográfica

Endovascular treatment of pelvic venous congestion syndrome in a patient with duplication of the inferior vena cava and unusual pelvic venous anatomy: literature review

Marcelo Fernandes Lima; Ilídio Almeida Lima; Vanessa Heinrich-Oliveira

Downloads: 1
Views: 178

Resumo

Resumo: A dor pélvica crônica afeta aproximadamente 1/3 de todas as mulheres e é responsável por cerca de 20% de todas as consultas ginecológicas. Os autores relatam um raro caso de congestão venosa pélvica sintomática na presença de duplicação de veia cava inferior e comunicação interilíaca através de veia hipogástrica direita tratado com abordagem endovascular, por embolização das veias varicosas pélvicas e revisão da literatura publicada.

Palavras-chave

congestão venosa pélvica, veia cava inferior duplicada, varizes pélvicas

Abstract

Abstract: Chronic pelvic pain affects approximately one-third of all women and is responsible for about 20% of all gynecological consultations. The authors report a rare case of symptomatic pelvic venous congestion in the presence of duplication of the inferior vena cava and inter-iliac communication through the right hypogastric vein that was treated via an endovascular approach with embolization of varicose pelvic veins. The published literature is reviewed.
 

Keywords

pelvic venous congestion, inferior vena cava duplication, pelvic varicose veins

References

Zondervan KT, Yudkin PL, Vessey MP, Dawes MG, Barlow DH, Kennedy SH. Prevalence and incidence of chronic pelvic pain in primary care: evidence from a national general practice database. Br J Obstet Gynaecol. 1999;106(11):1149-55. http://dx.doi.org/10.1111/j.1471-0528.1999.tb08140.x. PMid:10549959.

Phillips D, Deipolyi AR, Hesketh RL, Midia M, Oklu R. Pelvic congestion syndrome: etiology of pain, diagnosis, and clinical management. J Vasc Interv Radiol. 2014;25(5):725-33. http://dx.doi.org/10.1016/j.jvir.2014.01.030. PMid:24745902.

Chen H, Emura S, Nagasaki S, Kubo KY. Double inferior vena cava with interiliac vein: a case report and literature review. Okajimas Folia Anat Jpn. 2012;88(4):147-51. http://dx.doi.org/10.2535/ofaj.88.147. PMid:22645906.

Hansrani V, Morris J, Caress AL, Payne K, Seif M, McCollum CN. Is pelvic vein incompetence associated with symptoms of chronic pelvic pain in women? A pilot study. Eur J Obstet Gynecol Reprod Biol. 2016;196:21-5. http://dx.doi.org/10.1016/j.ejogrb.2015.10.023. PMid:26656197.

Whiteley MS, Lewis-Shiell C, Bishop SI, et al. Pelvic vein embolisation of gonadal and internal iliac veins can be performed safely and with good technical results in an ambulatory vein clinic, under local anaesthetic alone – Results from two years’ experience. Phlebology. 2018;33(8):575-9. http://dx.doi.org/10.1177/0268355517734952. PMid:28992753.

Borghi C, Dell’Atti L. Pelvic congestion syndrome: the current state of the literature. Arch Gynecol Obstet. 2016;293(2):291-301. http://dx.doi.org/10.1007/s00404-015-3895-7. PMid:26404449.

Hansrani V, Abbas A, Bhandari S, Caress AL, Seif M, McCollum CN. Trans-venous occlusion of incompetent pelvic veins for chronic pelvic pain in women: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2015;185:156-63. http://dx.doi.org/10.1016/j.ejogrb.2014.12.011. PMid:25590499.

Siqueira FM, Monsignore LM, Rosa-E-Silva JC, et al. Evaluation of embolization for periuterine varices involving chronic pelvic pain secondary to pelvic congestion syndrome. Clinics (São Paulo). 2016;71(12):703-8. http://dx.doi.org/10.6061/clinics/2016(12)05. PMid:28076514.

Steenbeek MP, van der Vleuten CJM, Schultze Kool LJ, Nieboer TE. Noninvasive diagnostic tools for pelvic congestion syndrome: a systematic review. Acta Obstet Gynecol Scand. 2018;97(7):776-86. http://dx.doi.org/10.1111/aogs.13311. PMid:29381188.

Morita S, Higuchi M, Saito N, Mitsuhashi N. Pelvic venous variations in patients with congenital inferior vena cava anomalies: classification with computed tomography. Acta Radiol. 2007;48(9):974-9. http://dx.doi.org/10.1080/02841850701499409. PMid:17957511.

Natsis K, Apostolidis S, Noussios G, Papathanasiou E, Kyriazidou A, Vyzas V. Duplication of the inferior vena cava: anatomy, embryology and classification proposal. Anat Sci Int. 2010;85(1):56-60. http://dx.doi.org/10.1007/s12565-009-0036-z. PMid:19330283.

Spentzouris G, Zandian A, Cesmebasi A, et al. The clinical anatomy of the inferior vena cava: a review of common congenital anomalies and considerations for clinicians. Clin Anat. 2014;27(8):1234-43. http://dx.doi.org/10.1002/ca.22445. PMid:25042045.

Beckett D, Dos Santos SJ, Dabbs EB, Shiangoli I, Price BA, Whiteley MS. Anatomical abnormalities of the pelvic venous system and their implications for endovascular management of pelvic venous reflux. Phlebology. 2018;33(8):567-74. http://dx.doi.org/10.1177/0268355517735727. PMid:29059022.

Hayashi S, Naito M, Hirai S, et al. Proposal for a new classification of variations in the iliac venous system based on internal iliac veins: a case series and a review of double and left inferior vena cava. Anat Sci Int. 2013;88(4):183-8. http://dx.doi.org/10.1007/s12565-013-0182-1. PMid:23709295.

Tong Z, Gu Y. A case series of duplicated inferior vena cava: mind the side, or fail to trap! Int J Clin Exp Med. 2015;8(5):8029-31. PMid:26221367.

Malgor RD, Sobreira M, Boaventura PN, Moura R, Yoshida WB. Implante de filtro em veia cava inferior dupla: relato de caso e revisão da literatura. J Vasc Bras. 2008;7(2):167-70. http://dx.doi.org/10.1590/S1677-54492008000200013.

Galego GN, Silveira PG, Bortoluzzi CT, Franklin RN, Ronchi TM. Síndrome da Congestão Venosa Pélvica e resultados do tratamento endovascular: série de casos. J Vasc Bras. 2015;14(3):262-6. http://dx.doi.org/10.1590/1677-5449.0085.

Guirola JA, Sánchez-Ballestin M, Sierre S, Lahuerta C, Mayoral V, De Gregorio MA. A Randomized Trial of Endovascular Embolization Treatment in Pelvic Congestion Syndrome: Fibered Platinum Coils versus Vascular Plugs with 1-Year Clinical Outcomes. J Vasc Interv Radiol. 2018;29(1):45-53. http://dx.doi.org/10.1016/j.jvir.2017.09.011. PMid:29174618.

Daniels JP, Champaneria R, Shah L, Gupta JK, Birch J, Moss JG. Effectiveness of embolization or sclerotherapy of pelvic veins for reducing chronic pelvic pain: a systematic review. J Vasc Interv Radiol. 2016;27(10):1478-1486.e8. http://dx.doi.org/10.1016/j.jvir.2016.04.016. PMid:27397619.
 

5e1379240e8825454227eaa2 jvb Articles

J Vasc Bras

Share this page
Page Sections