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.
Review of the clinical findings and their usefulness in identifying patients with peripheral arterial disease
59 year old male with short distance exercise induced left leg pain. Pain was severe and was interfering with the patients actively living.
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.