Congestive heart failure pelvines I82.8

Varicosis in the small pelvis associated with a feeling of pressure and heaviness in the small pelvis. The main symptom is cycle-dependent lower abdominal pain in atypical or pudendal varicosis or vulvar varices.

Pelvic varicosis is present in partial or total occlusion of the inferior vena cava, the common iliac vein and/or the external iliac vein with the formation of collateral circulation (suprapubic varices!). Frequently combined with postthrombotic damage to the deep leg veins.

Mostly young multipare women, less frequently nuliparae are affected. The frequency of pelvic congestion syndrome is reported to be 11% in chronic therapy-resistant lower abdominal pain.

Corresponding to chronic venous insufficiency.

Corresponding to chronic venous insufficiency, especially endovascular catheter interventions. Direct surgical measures (bypass surgery according to Palma) are rather to be avoided.

1. Arnoldussen CW et al (2015) Diagnostic imaging of pelvic congestive syndrome. Phlebology 30: (Suppl 1) 67-72.
2. Borghi C et al (2016) Pelvic congestion syndrome: the current state of the literature. Arch Gynecol Obstet 293:291-301.
3. Daniels JP et al (2016) Effectiveness of Embolization or Sclerotherapy of Pelvic Veins for Reducing Chronic Pelvic Pain: A Systematic Review. J Vasc Interv Radiol doi: 10.1016/j.jvir.2016.04.016.
4. Hartung O (2015) Embolization is essential in the treatment of leg varicosities due to pelvic venous insufficiency. Phlebology 30(1 Suppl):81-85.
5. Simon E et al (1999) Varicosis in the pelvis during gynaecological laparoscopy. Phlebology 11:197-201