36 year old female with typically symptoms of pelvic congestion syndrome. Primary complaints of pelvic heaviness, painful intercourse, and urinary frequency. Transvaginal ultrasound demonstrated left ovarian vein embolization with extensive pelvic varicosities. Of note, large varicose veins were found around the base of the bladder. Treatment with foam sclerotherapy and coil embolization resulted in marked improvement in symptoms.
Asymptomatic slowly enlarging internal iliac artery aneurysm
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.
79 year old female with non healing ulcers. Occlusion of all three arteries in the calf.