Abstract
The authors present an uncommon cause of pelvic congestion syndrome (PCS) secondary
to anterior nutcracker syndrome, which was caused by aortomegaly. Positional flank
and pelvic pain was the only presenting feature with no renal dysfunction. Early and
significant decompression of left renal vein (LRV) via left ovarian vein resulted
in preserved renal function with symptomatic pelvic varices. Endovascular management
by left ovarian vein coiling and LRV stenting was done. They briefly review the etiopathology,
imaging, treatment rationale, and management options for nutcracker and PCS.
Keywords
pelvic congestion syndrome - nutcracker syndrome - ovarian vein embolization - renal
vein stenting - aortomegaly
