Chronic pelvic pain is a problem at the same time common and underdiagnosed in women. Some literature reports show an incidence of up to 15% in women aged between 18-50 years, with impact over quality of life and economy. Among the causes of chronic pelvic pain, pelvic congestion syndrome stands out, characterized by pain, dysuria, hematuria, dysmenorrhea, dyspareunia and vulvar congestion, often accompanied by vulvar varices, described in 1949 by Taylor. We herein report a case of a patient with chronic pelvic pain in whom we diagnosed a nutcracker syndrome, characterized by stenosis of the left renal vein between the superior mesenteric artery and the aorta, with consequent status of left gonadal plexus hypertension, pelvic varices and symptoms of pelvic congestion. The treatment was varicose pelvic veins embolization, through a minimally invasive endovascular approach, with immediate technical and clinical success in less than 24 hours.
Pelvic pain; varicose veins; renal veins; embolization; angioplasty
