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Congress: ECR25
Poster Number: C-11674
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-11674
Authorblock: P. Di Grigoli, D. G. Castiglione, F. Vacirca, D. Falsaperla, F. Libra, C. Motta, P. V. Foti, S. Palmucci, A. Basile; Catania/IT
Disclosures:
Placido Di Grigoli: Nothing to disclose
Davide Giuseppe Castiglione: Nothing to disclose
Francesco Vacirca: Nothing to disclose
Daniele Falsaperla: Nothing to disclose
Federica Libra: Nothing to disclose
Claudia Motta: Nothing to disclose
Pietro Valerio Foti: Nothing to disclose
Stefano Palmucci: Nothing to disclose
Antonio Basile: Nothing to disclose
Keywords: Abdomen, Interventional vascular, Vascular, Catheter venography, CT-Angiography, Fluoroscopy, Balloon occlusion, Sclerosis, Venous access, Dilatation, Haemodynamics / Flow dynamics, Varices
Learning objectives Pelvic venous congestion in men is a rarely described condition in the literature. This poster aims to present clinical case examples, familiarize radiologists with key imaging findings, and provide an overview of current literature to improve recognition and diagnosis of this underdiagnosed entity. 
Read more Background Pelvic congestion syndrome (PCS) is defined as chronic pelvic pain for more than six months, resulting from a chronic venous disorder associated with varicose dilatation and venous insufficiency of the pelvic venous plexuses and represents about 16-31% of the causes of chronic pervasive pain (Corrêa et al., 2019). The pathogenesis of pelvic venous congestion is not fully understood. It is multifactorial, involving congenital valvular anomalies, previous surgical interventions, and alterations in pelvic floor musculature (Ignacio et al., 2008). Additionally, pelvic venous reflux...
Read more Findings and procedure details The aim of treatment options in Pelvic Congestion Syndrome (PCS) is to resolve venous congestion and thereby alleviate the associated symptoms. Percutaneous endovascular embolization of the pelvic venous plexuses represents the most commonly utilized interventional treatment for PCS. Although most of the literature focuses on female patients, we have applied the same therapeutic procedure in men, given that the underlying pathophysiological mechanism is conceptually similar (Dabbs et al., 2018).The procedure can be divided into three main steps: Vascular Access: Vascular access...
Read more Conclusion Our work demonstrates that pelvic congestion syndrome (PCS), although rarely reported in men, is a significant and underdiagnosed cause of chronic pelvic pain. By employing a comprehensive diagnostic approach, we can accurately detect venous abnormalities, while targeted percutaneous embolization offers effective symptom relief. This integrated strategy paves the way for timely and personalized management of PCS in the male population.
Read more References Brown, C. L., Rizer, M., Alexander, R., Sharpe, E. E., & Rochon, P. J. (2018). Pelvic Congestion Syndrome: Systematic Review of Treatment Success. Seminars in Interventional Radiology, 35(1), 35–40. https://doi.org/10.1055/s-0038-1636519Corrêa, M. P., Bianchini, L., Saleh, J. N., Noel, R. S., & Bajerski, J. C. (2019). Pelvic congestion syndrome and embolization of pelvic varicose veins. In Jornal Vascular Brasileiro (Vol. 18). Sociedade Brasileira de Angiologia e Cirurgia Vascular. https://doi.org/10.1590/1677-5449.190061Dabbs, E. B., Dos Santos, S. J., Shiangoli, I., Holdstock, J. M., Beckett,...
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