Suprapubic varicose vein formation during pregnancy following pre-pregnancy pelvic vein embolisation with coils, without any residual pelvic venous reflux or obstruction

Suprapubic varicose veins are usually indicative of unilateral iliac vein occlusion and venous collateralisation. We report two cases of suprapubic varicose veins following pelvic vein embolisation and subsequent pregnancy; both presented without residual pelvic venous reflux or pelvic venous obstru...

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Main Authors: Emma Dabbs, Jaya L Nemchand, Mark S Whiteley
Format: Article
Language:English
Published: SAGE Publishing 2017-08-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X17724712
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author Emma Dabbs
Jaya L Nemchand
Mark S Whiteley
author_facet Emma Dabbs
Jaya L Nemchand
Mark S Whiteley
author_sort Emma Dabbs
collection DOAJ
description Suprapubic varicose veins are usually indicative of unilateral iliac vein occlusion and venous collateralisation. We report two cases of suprapubic varicose veins following pelvic vein embolisation and subsequent pregnancy; both presented without residual pelvic venous reflux or pelvic venous obstruction. In both cases, there was no significant flow in the suprapubic veins indicating that they were not acting as a collateral post-pregnancy. One patient had this venous abnormality treated successfully with TRansluminal Occlusion of Perforators, followed by foam sclerotherapy to the main part of the suprapubic vein. This patient has since completed the reminder of her lower limb varicose vein treatment. We suggest that pregnancy may have caused prolonged intermittent compression of the left common iliac vein, and that this, together with the physiological impact of previous embolisation procedures, obstructed venous drainage from the left leg resulting in collateral vein formation within the 9-month gestation period.
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spelling doaj.art-61a5c3870ef74a18b1c34148583bfbed2022-12-22T01:26:42ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2017-08-01510.1177/2050313X17724712Suprapubic varicose vein formation during pregnancy following pre-pregnancy pelvic vein embolisation with coils, without any residual pelvic venous reflux or obstructionEmma Dabbs0Jaya L Nemchand1Mark S Whiteley2The Whiteley Clinic, Guildford, UKFaculty of Health and Medical Sciences, University of Surrey, Guildford, UKFaculty of Health and Medical Sciences, University of Surrey, Guildford, UKSuprapubic varicose veins are usually indicative of unilateral iliac vein occlusion and venous collateralisation. We report two cases of suprapubic varicose veins following pelvic vein embolisation and subsequent pregnancy; both presented without residual pelvic venous reflux or pelvic venous obstruction. In both cases, there was no significant flow in the suprapubic veins indicating that they were not acting as a collateral post-pregnancy. One patient had this venous abnormality treated successfully with TRansluminal Occlusion of Perforators, followed by foam sclerotherapy to the main part of the suprapubic vein. This patient has since completed the reminder of her lower limb varicose vein treatment. We suggest that pregnancy may have caused prolonged intermittent compression of the left common iliac vein, and that this, together with the physiological impact of previous embolisation procedures, obstructed venous drainage from the left leg resulting in collateral vein formation within the 9-month gestation period.https://doi.org/10.1177/2050313X17724712
spellingShingle Emma Dabbs
Jaya L Nemchand
Mark S Whiteley
Suprapubic varicose vein formation during pregnancy following pre-pregnancy pelvic vein embolisation with coils, without any residual pelvic venous reflux or obstruction
SAGE Open Medical Case Reports
title Suprapubic varicose vein formation during pregnancy following pre-pregnancy pelvic vein embolisation with coils, without any residual pelvic venous reflux or obstruction
title_full Suprapubic varicose vein formation during pregnancy following pre-pregnancy pelvic vein embolisation with coils, without any residual pelvic venous reflux or obstruction
title_fullStr Suprapubic varicose vein formation during pregnancy following pre-pregnancy pelvic vein embolisation with coils, without any residual pelvic venous reflux or obstruction
title_full_unstemmed Suprapubic varicose vein formation during pregnancy following pre-pregnancy pelvic vein embolisation with coils, without any residual pelvic venous reflux or obstruction
title_short Suprapubic varicose vein formation during pregnancy following pre-pregnancy pelvic vein embolisation with coils, without any residual pelvic venous reflux or obstruction
title_sort suprapubic varicose vein formation during pregnancy following pre pregnancy pelvic vein embolisation with coils without any residual pelvic venous reflux or obstruction
url https://doi.org/10.1177/2050313X17724712
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