Use of time resolved magnetic resonance imaging in the diagnosis of pelvic congestion syndrome.
We describe the efficacy of time-resolved MR angiography in diagnosing a case of pelvic congestion syndrome (PCS). MR angiography, using four-dimensional (4D) TRAK (Time-Resolved Angiography using Keyhole) technique was used in an 81-year-old woman presenting with low backache, pelvic pain, and left pelvic fullness. Dynamic images were obtained in multiple vascular phases including arterial, arteriovenous, and venous phases. The high temporal resolution of 4D TRAK could demonstrate early retrograde left ovarian vein filling as well as multiple dilated pelvic varices, allowing the prospective diagnosis of PCS to be made. Although uncommon in this age group, the diagnosis was subsequently confirmed on conventional catheter venography with symptomatic relief after successful embolization of the incompetent left ovarian vein. The MRA and correlative catheter venography images are presented in this case report.
Pandey
Tarun
T
Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205, USA. tpandey@uams.edu
Shaikh
Raja
R
Viswamitra
Sanjaya
S
Jambhekar
Kedar
K
D000369:Aged, 80 and over; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000379:methods; D019160:Endosonography / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007089:Image Enhancement; D018810:Magnetic Resonance Angiography / Q000379:methods*; D010053:Ovary / Q000098:blood supply*; D017699:Pelvic Pain / Q000175:diagnosis* / Q000628:therapy; D010690:Phlebography / Q000379:methods; D013577:Syndrome; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014648:Varicose Veins / Q000473:pathology* / Q000628:therapy
D003287:Contrast Media