Pelvic Venous Congestion Secondary to a Circumaortic Renal Collar in an Adolescent Female: Report of a Case

• Main Authors: Verónica Alonso-Arroyo (Author), Jose Javier Velasco (Author), Sonia Pérez-Bertólez (Author), Maria Elena Molina (Author), Jose Manuel Marugan- (Author), Alberto Sanchez-Abuin (Author), Oscar Dario Gomez Beltran (Author)
• Format: Book
• Published: Georg Thieme Verlag KG, 2021-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2194-7619; 2194-7627; 10.1055/s-0041-1730998
• Keywords: renal vein; pelvic pain; embolization; phlebographie; Pediatrics; RJ1-570; Surgery; RD1-811
• Source: European Journal of Pediatric Surgery Reports, Vol 09, Iss 01, Pp e56-e60 (2021)

We report a 13-year-old girl who presented with a recurrent abdominal pain that started after her menarche. The abdominal palpation revealed tenderness over the left ovarian point. The laboratory study, ultrasonography, and abdominal X-ray were normal. The computed tomography and magnetic resonance imaging showed a double left renal vein with a retroaortic component, an increased left parauterine circulation, and ipsilateral ovarian vein engorgement. A diagnostic and therapeutic phlebography allowed a selective catheterization of a group of pelvic varicose veins draining to the left ovarian and to the internal iliac veins. There were no complications during the procedure and the symptoms disappeared 2 days later. Circumaortic left renal vein may cause hematuria, proteinuria, pelvic congestion syndrome, and massive hemorrhage during surgery. A conservative treatment is recommended for patients without gynecourological/renal symptoms or with mild hematuria. The endovascular treatment by gonadal venous embolization is safe and effective.