骨盤内うっ血症候群を伴う慢性骨盤痛と腹腔鏡下手術

抄録

Introduction: Chronic pelvic pain affects about 10-40% of women presenting to a physician. The gynecological factors responsible for chronic pelvic pain include endometriosis, pelvic congestion syndrome (PCS), ovarian tumors. We experienced a case of PCS who had a complaint of chronic pelvic pain which was relieved after laparoscopic surgery.

Case: A 30-year-old primigravida woman complained of sudden onset of lower abdominal pain and low back pain. Imaging studies did not reveal any organic disease of uterus or ovaries, however, it was suggestive of left ovarian vascular congestion. Therefore, it was inferred that PCS was the cause of chronic pelvic pain. A laparoscopic resection of pelvic peritoneum was performed which resulted in remarkable disappearance of pelvic pain.

Conclusion: Resection of the pelvic peritoneum is considered to provide pain relief through resection of sensory afferent nerves that cause visceral pain, and it effectively provides pain relief regardless of the cause of pelvic pain.