Abstract
Pelvic congestion syndrome (PCS) is a common cause of chronic pelvic pain. Typical symptoms include exacerbation of lower abdominal pain during standing or walking, and relief when in the supine position. We present the case of a 23-year-old nulliparous woman who complained of lower abdominal
pain that had lasted for more than six months. The pain worsened with standing or walking and improved
with lying down, consistent with the typical presentation of PCS. However, imaging studies did not
reveal clear evidence of ovarian vein dilatation or pelvic varices. Medical management was ineffective. Based on the clinical presentation, a diagnosis of PCS was made, and ovarian vein embolization was performed. The pain was significantly relieved after the operation, and her quality of life markedly improved.Even in the absence of definitive imaging findings, PCS should be considered as a differential diagnosis when clinical symptoms are typical and timely therapeutic intervention should be considered to improve patient outcomes.〔Adv Obstet Gynecol, 78(1), 53-58, 2026(R8.2)〕
