Importance of history, examination and modern imaging in pelvic pain

  • By Melbourne Endovascular

This de-identified image demonstrates nicely the importance of clinical work up for patients with pelvic pain. This patient was referred for fibroid management, however during our consultation the clinical suggestion was that ovarian vein incompetence was more likely to be the culprit of her symptoms. This work up CT beautifully ilustrates the large refluxing left ovarian vein (arrowed). The fibroids in fact were smaller and no longer receiving a blood supply therefore did not require treatment. This patient went on to have ovarian vein embolisation.


  • By Melbourne Endovascular
Pelvic congestion syndrome (PCS) is a disease that is often undiagnosed in women with pelvic pain. Chronic pelvic pain affects approximately 15% of...
  • By Melbourne Endovascular
This de-identified image demonstrates nicely the importance of clinical work up for patients with pelvic pain. This patient was referred for fibroid m...