Keywords
pelvic congestion
venous transposition
How to Cite
Abstract
The cause of pelvic congestion symptoms is usually nutcracker syndrome. We present
the clinical case of a 58-year-old female patient who consulted for lumbar and left flank
pain, microhematuria, and dyspareunia of 10 years of evolution. Angiotomography
showed compression of the left renal vein at the level of the aortomesenteric
compass, associated with pelvic varices. It was resolved with surgical treatment by
transposition of the left gonadal vein to the inferior vena cava and embolization of
the distal bed with coils and foam. The patient had an uncomplicated postoperative
period with complete resolution of symptoms.
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