Pevic congestion syndrome as differential diagnosis to cystic ovarian lesion

Introduction: Pelvic congestion syndrome (PCS), also known as pelvic venous insufficiency, describes the presence of varices of the pelvic veins, and has been shown to be the underlying aetiology in a significant proportion of patients with chronic pelvic pain. The development of these varices is caused by a combination of endocrine and mechanical factors. It is believed that the hormonal changes and weight gain along with the anatomic changes in the pelvic structures during pregnancy can cause an increased pressure within the ovarian veins and weaken the vein wall leading to dilatation. Estrogen has been also i…