Document Detail


Use of time resolved magnetic resonance imaging in the diagnosis of pelvic congestion syndrome.
MedLine Citation:
PMID:  20815070     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe the efficacy of time-resolved MR angiography in diagnosing a case of pelvic congestion syndrome (PCS). MR angiography, using four-dimensional (4D) TRAK (Time-Resolved Angiography using Keyhole) technique was used in an 81-year-old woman presenting with low backache, pelvic pain, and left pelvic fullness. Dynamic images were obtained in multiple vascular phases including arterial, arteriovenous, and venous phases. The high temporal resolution of 4D TRAK could demonstrate early retrograde left ovarian vein filling as well as multiple dilated pelvic varices, allowing the prospective diagnosis of PCS to be made. Although uncommon in this age group, the diagnosis was subsequently confirmed on conventional catheter venography with symptomatic relief after successful embolization of the incompetent left ovarian vein. The MRA and correlative catheter venography images are presented in this case report.
Authors:
Tarun Pandey; Raja Shaikh; Sanjaya Viswamitra; Kedar Jambhekar
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of magnetic resonance imaging : JMRI     Volume:  32     ISSN:  1522-2586     ISO Abbreviation:  J Magn Reson Imaging     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-03     Completed Date:  2011-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9105850     Medline TA:  J Magn Reson Imaging     Country:  United States    
Other Details:
Languages:  eng     Pagination:  700-4     Citation Subset:  IM    
Affiliation:
Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205, USA. tpandey@uams.edu
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Contrast Media / diagnostic use
Embolization, Therapeutic / methods
Endosonography / methods
Female
Follow-Up Studies
Humans
Image Enhancement*
Magnetic Resonance Angiography / methods*
Ovary / blood supply*
Pelvic Pain / diagnosis*,  therapy
Phlebography / methods
Syndrome
Tomography, X-Ray Computed / methods
Treatment Outcome
Varicose Veins / pathology*,  therapy
Chemical
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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