Ovarian Vein Syndrome in a Woman with Abdominal Pain

Case Report

J Dis Markers. 2021; 6(1): 1042.

Ovarian Vein Syndrome in a Woman with Abdominal Pain

Rodriguez-Morata A¹*, Reyes-Ortega JP¹, Robles- Martin ML¹, Gallardo-Pedrajas F¹, Gómez-Pascual JA²

¹Department of Angiology and Vascular Surgery, Quirónsalud Málaga Hospital, Málaga, Spain

²Department of Urology, Hospital Quirónsalud, Málaga, Spain

*Corresponding author: Rodriguez Morata Alejandro, Department of Angiology and Vascular Surgery, Quirónsalud Málaga Hospital, Málaga, Spain

Received: May 20, 2021; Accepted: June 12, 2021; Published: June 19, 2021


Ovarian Vein Syndrome (OVS) is a rare and a controversial disease caused by varicose veins, a crossing and dilated ovarian veins inducing chronic ureteral obstruction [1]. We report a case of a woman with a large history of chronic abdominal pain and urinary symptoms with left chronical ureteral obstruction successfully treated by transvenous embolization with coils and foam.

Keywords: Abdominal pain; Ovarian veins; Varicose veins; Coil embolization


Chronic abdominal pain is a frequent cause of consultation in women between 30-45 years, especially multiparous. This pain produces great discomfort that can affect your quality of life. In a high percentage of cases, the clinical symptoms presented by these women will be secondary to a conventional pelvic congestion syndrome, but exceptionally it may be caused by an ovarian vein syndrome.

Pelvic venous congestion syndrome and ovarian vein syndrome are two very similar entities that share symptoms (chronic hypogastralgia) and pathophysiology (dilated ovarian vein), but in the case of ovarian vein syndrome, it also produces urinary symptoms such as frequent urinary tract infections and hydronephrosis especially in the right kidney [2-6].

The anatomical relationships of the ovarian veins in the pelvis make them a possible cause of ureteral obstruction, being more frequent the involvement of the right ureter except in the case of pathologies that determine stasis in the left renal vein.

We present a peculiar case of ovarian vein syndrome in a 65-yearold woman with symptoms of left renal colic of several months of evolution that resolved with embolization of the gonadal vein.

Case Presentation

65-year-old woman with a history of hypercholesterolemia under treatment with simvastatin 20 mg and psoriatic arthritis under treatment with methotrexate.

She was referred to our service from Urology for a chronic clinical status of left flank pain compatible with recurrent renoureteral crisis. In CT-Angio made in venous phase, it could be seen how the left gonadal vein in its course towards the renal vein intimately contacted with the left ureter, producing compression and dilation of it retrogradely until causing ipsilateral hydronephrosis of the kidney (Figure 1).