Abstract
Two patients who complain chronic pelvic pain and atypical varicose vein underwent coil embolization of ovarian vein based on the diagnosis of pelvic congestion syndrome. Both patients had varicose veins of the vulva, buttocks and back of thigh. Pelvic congestion syndrome was suspected from the symptom and clinical findings, and CT with contrast demonstrated dilated left ovarian vein with pelvic varicosities in both cases. To confirm the diagnosis and treat, venography was performed. Only the left ovarian vein showed significant reflux and dilatation in both cases. Coil embolization was performed for those veins. There was no complication and both patients showed significant symptom relief. Pelvic congestion syndrome is treatable, so the pathophysiology and treatment must be recognized by not only gynecologist but vascular surgeon.
