Endovascular Treatment of Pelvic Varices Secondary to The "Nutcracker Phenomenon"

Abstract

Introduction: Pelvic congestion syndrome is a cause of recurrent consultation to the Gynecology services, given the variety of nosological entities that could cause the clinical condition; diagnosis and treatment often occurs late.
Objective: To report the case of a patient with pelvic congestion syndrome associated with false nutcracker, treated endovascularly with satisfactory evolution.
Case report: We report the case of a 31-year-old female patient who came to the clinic with chronic pelvic pain associated with secondary symptoms such as increased flow in the left renal vein; endovascular treatment was chosen. Embolization of the pelvic varices was performed, and complete and immediate resolution of the clinical condition was obtained. Excellent evolution was observed at one year of follow-up.
Conclusions: The advancement of endovascular techniques has made it possible to develop embolization methods with or with no sclerosis of pelvic varices with very good immediate, medium and long-term results.