Varicose vein question from Vein Directory online, from a post surgery patient:

I had vein ablation and have a full knee replacement. Are dilated left adnexal tortuous varicose veins consistent with pelvic vein?

I assume the “dilated left adnexal tortuous varicose veins” were seen on a diagnostic study of some sort – CT, MRI, or venography. Approximately 30% of women with left leg varicose veins have incompetence or partial obstruction in the veins in the pelvis, specifically the ovarian veins or other veins in the abdomen, pelvis and/or perineum.

This can cause pelvic pain around the menstrual periods, during pregnancy, or following sexual activity. This can also cause early recurrence of leg veins following leg vein ablation.

If DVT has been ruled out, treatment of the incompetent or obstructed abdominal or pelvic veins is typically accomplished with ultrasound guided injections, embolization (inserting or injecting material into the problem veins to close them) through catheters inserted through neck or groin, or dilation and stent placement for partial obstruction. This treatment is highly specialized and should only be done by someone with the skill, training, and experience to perform the procedures safely.

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