A Case of Perineal Varicose Veins

Abstract

Perineal varicose veins are contiguous to vulval varicose veins which are very rare accounting for about 1～7% of peripheral varices. Most of them are not indicated for surgery, because they appear during pregnancy and reduce after delivery. A thirty-nine year-old woman was admitted to our hospital because of perineal varix. The perineal varix and varices of the bilateral lower limbs appeared during the second pregnancy. Although the bilateral varices of the lower limbs disappeared rapidly after caesarian section, the perineal varix remained with the symptoms of pain and discomfort. The perineal varix was 2cm in diameter. Venography revealed dilatation of the vaginal venous plexus and the uterine venous plexus. Contrast medium was drained to the internal pudendal vein, obturator vein and external pudendal vein. Ligation of the drainage veins and resection of the perineal varix were performed. The symptoms disappeared postoperatively.