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Re: dilated ovarian veins From: art fougner, md (evsono@pipeline.com) Tue Apr 3 07:56:15 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Pregnancy with Appendicitis" Previous message: art fougner, md: "Re: dilated ovarian veins" In reply to: Kirsten Duckitt: "Re: dilated ovarian veins" Next in thread: DoctorJoe@aol.com: "Re: dilated ovarian veins" there have been some reported successful treatments of pelvic congestion by embolizing the veins. uncontrolled, mind you so placebo effect might be operative. art At Tue, 3 Apr 2001, Kirsten Duckitt wrote: > >I too had a patient with disabling pelvic pain whose only finding at lap was dilated veins in the broad ligament on the side where the pain was worse. Pain was also worse at end of day, on standing and after activity. I discussed possible diagnosis of pelvic congestion and discussed findings of RCT which showed high dose medroxyprogesterone acetate more efffective than placebo. Her pain improved on this for several months but has now got worse since trying to switch her back onto OCPs. She then enquired about ovarian vein embolisation as a treatment for pelvic congestion . I didn't really know anything abou this but our radiologist who does the fibroid embolisations has done a few and is going to see her. > >-- >Kirsten Duckitt MRCOG >Clinical Lecturer >Nuffield Department of Obstetrics and Gynaecology >Level 3, Women's Centre >John Radcliffe Hospital >Headington >Oxford >OX3 9DU > >01865 741166 bleep 1028 > >>>> kdew@bellsouth.net 04/02/01 10:55pm >>> > >I recently performed laparoscopy on two different patients both of whom had >pain, not responding to OCP or NSAIDs as their chief complaint. The only >significant finding in both was dilated ovarian and broad ligament veins. >They weren't quite the size one would find at a caesarian section but pretty >close. > >I've encountered this a couple of times in the past as an incidental finding >at laparoscopy for tubal ligation and the patients were symptom free. > >Let the comments role please > >Kevin Dew, MD >OB/GYN >Bardstown, KY > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: Pregnancy with Appendicitis" Previous message: art fougner, md: "Re: dilated ovarian veins" In reply to: Kirsten Duckitt: "Re: dilated ovarian veins" Next in thread: DoctorJoe@aol.com: "Re: dilated ovarian veins"

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