Does abdominal pain indicate pelvic congestion syndrome?
After a total hysterectomy in 2001 for polysistic ovaries my doctor said I had pelvic congestion. After years of terrible pelvic lower abdominal and lower back pain, I had a CT scan. The doctor said the scan was "normal." Do you have any advice for next steps?
The information provided by medical professionals in the Q&A is for informational purposes only, and is not a substitute for individualized medical advice,
diagnosis or treatment by a qualified health care provider.
Replied on 8/7/2012
By: VeinCare Centers of Tennessee | Stephen F. Daugherty, M.D.,F.A.C.S.
The quality of pelvic and abdominal CT varies considerably depending on technique and who is reading the CT. A CT venogram requires timing the CT scans correctly to pick up on the IV contrast in the veins of the pelvis. A very specialized abdominal/pelvic venous color duplex ultrasound study may provide helpful information that may not be found on the CT. Ultrasound can evaluate flow, while the CT does not directly evaluate flow. It is important also to know that some patients with symptoms of pelvic venous congestion actually have a compression of the iliac vein, causing enlargement of pelvic veins to carry blood from the leg and pelvis around the iliac vein obstruction.
Replied on 8/7/2012
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