Left ovarian vein dilation or pelvic congestion syndrome secondary to abdominal aortic dissection: incidental findings on CT angiography

BackgroundIn the study, we describe eight cases in which pelvic congestion syndrome (PCS) was a direct complication of abdominal aortic dissection (AD).MethodsWe recorded computed tomographic (CT) details of the AD and PCS. The patterns of pelvic varices and reflux were identified as well.ResultsAll eight had abdominal AD (diameter, 23.44–33.98 mm). The compressed left renal vein revealed stenosis in situ (diameter, 1.17–2.69 mm). CT also revealed dilation of left ovarian vein with left pelvic varices in all cases.ConclusionsSome cases of PCS and dilation of the left ovarian vein can be directly correlated with abdominal AD.