Abstract
Purpose: While pelvic congestion syndrome and chronic pelvic pain are relatively common in women, no large- or medium-sized studies have been conducted to our knowledge to evaluate the frequency and severity of ovarian vein dilatation (OVD) on computed tomography (CT). The purpose of our study was therefore to analyze a large number of consecutive abdominal and pelvic CT scans in adult women to determine OVD frequency and severity. Methods: An IRB-approved, single-institution retrospective analysis of 1042 consecutive abdominal and pelvic CT scans in women ages 25–65 was performed. Scans were evaluated for the presence and severity of OVD and association with “nutcracker anatomy.” A gradation scheme was developed based on quartile analysis. Results: 143 of the CT scans had OVD (13.7%). Of the positive scans, 96 were bilateral, 29 were left-side only, 18 were right-side only, and 18 had nutcracker-type compression of the left renal vein (14.4% of scans with left or bilateral OVD). In positive scans, the mean and median left OVD were 7.5 and 7 mm, respectively, and right-side were 7.2 and 7 mm, respectively. Based on quartile analysis, OVD grading was mild (< 6 mm), moderate (6–8 mm), or severe (> 8 mm), with moderate including the middle 50% of patients. Conclusions: OVD was found on 13.7% of 1042 consecutive female abdominal and pelvic CT scans, with “nutcracker anatomy” present in 14.4% of the scans with left OVD. Moderate dilatation was defined as an OVD of 6–8 mm at the iliac crests.
| Original language | English (US) |
|---|---|
| Journal | Abdominal Radiology |
| DOIs | |
| State | Accepted/In press - Jan 1 2018 |
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Keywords
- Computed tomography
- Ovarian vein dilatation
- Pelvic congestion syndrome
ASJC Scopus subject areas
- Radiological and Ultrasound Technology
- Radiology Nuclear Medicine and imaging
- Gastroenterology
- Urology
Cite this
Evaluating the frequency and severity of ovarian venous congestion on adult computed tomography. / Szaflarski, Diane; Sosner, Eitan; French, Travis D.; Sayegh, Samia; Lamba, Ramit; Katz, Douglas S.; Hoffmann, Jason C.
In: Abdominal Radiology, 01.01.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Evaluating the frequency and severity of ovarian venous congestion on adult computed tomography
AU - Szaflarski, Diane
AU - Sosner, Eitan
AU - French, Travis D.
AU - Sayegh, Samia
AU - Lamba, Ramit
AU - Katz, Douglas S.
AU - Hoffmann, Jason C.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Purpose: While pelvic congestion syndrome and chronic pelvic pain are relatively common in women, no large- or medium-sized studies have been conducted to our knowledge to evaluate the frequency and severity of ovarian vein dilatation (OVD) on computed tomography (CT). The purpose of our study was therefore to analyze a large number of consecutive abdominal and pelvic CT scans in adult women to determine OVD frequency and severity. Methods: An IRB-approved, single-institution retrospective analysis of 1042 consecutive abdominal and pelvic CT scans in women ages 25–65 was performed. Scans were evaluated for the presence and severity of OVD and association with “nutcracker anatomy.” A gradation scheme was developed based on quartile analysis. Results: 143 of the CT scans had OVD (13.7%). Of the positive scans, 96 were bilateral, 29 were left-side only, 18 were right-side only, and 18 had nutcracker-type compression of the left renal vein (14.4% of scans with left or bilateral OVD). In positive scans, the mean and median left OVD were 7.5 and 7 mm, respectively, and right-side were 7.2 and 7 mm, respectively. Based on quartile analysis, OVD grading was mild (< 6 mm), moderate (6–8 mm), or severe (> 8 mm), with moderate including the middle 50% of patients. Conclusions: OVD was found on 13.7% of 1042 consecutive female abdominal and pelvic CT scans, with “nutcracker anatomy” present in 14.4% of the scans with left OVD. Moderate dilatation was defined as an OVD of 6–8 mm at the iliac crests.
AB - Purpose: While pelvic congestion syndrome and chronic pelvic pain are relatively common in women, no large- or medium-sized studies have been conducted to our knowledge to evaluate the frequency and severity of ovarian vein dilatation (OVD) on computed tomography (CT). The purpose of our study was therefore to analyze a large number of consecutive abdominal and pelvic CT scans in adult women to determine OVD frequency and severity. Methods: An IRB-approved, single-institution retrospective analysis of 1042 consecutive abdominal and pelvic CT scans in women ages 25–65 was performed. Scans were evaluated for the presence and severity of OVD and association with “nutcracker anatomy.” A gradation scheme was developed based on quartile analysis. Results: 143 of the CT scans had OVD (13.7%). Of the positive scans, 96 were bilateral, 29 were left-side only, 18 were right-side only, and 18 had nutcracker-type compression of the left renal vein (14.4% of scans with left or bilateral OVD). In positive scans, the mean and median left OVD were 7.5 and 7 mm, respectively, and right-side were 7.2 and 7 mm, respectively. Based on quartile analysis, OVD grading was mild (< 6 mm), moderate (6–8 mm), or severe (> 8 mm), with moderate including the middle 50% of patients. Conclusions: OVD was found on 13.7% of 1042 consecutive female abdominal and pelvic CT scans, with “nutcracker anatomy” present in 14.4% of the scans with left OVD. Moderate dilatation was defined as an OVD of 6–8 mm at the iliac crests.
KW - Computed tomography
KW - Ovarian vein dilatation
KW - Pelvic congestion syndrome
UR - http://www.scopus.com/inward/record.url?scp=85050935308&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85050935308&partnerID=8YFLogxK
U2 - 10.1007/s00261-018-1707-9
DO - 10.1007/s00261-018-1707-9
M3 - Article
C2 - 30054683
AN - SCOPUS:85050935308
JO - Abdominal Radiology
JF - Abdominal Radiology
SN - 2366-004X
ER -