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Hello, my daughter has just had a pelvic scan and examination and it revealed several large, prominent veins. Can you please tell me what this is and is it something to worry about? She is only 21 and has bouts of severe pain and loose stools.
Hard to say based on your information. Is there reflux in these veins? Does your daughter have painful periods? She probably needs a CT or MRI venogram and the findings need to be interpreted in light of her complaints.
Prominent pelvic veins are common, but can also be associated with pelvic congestion syndrome or other problems. A knowledgeable radiologist can answer this question.
You do not state whether she had any previous pelvic surgery or blood clots
in the legs. Enlarged pelvis veins may be an indicator of obstruction or compression,
current or past. They may represent collateral or bypass routes formed by the body.
If the pain flares with intercourse or menstruation, this is called pelvic congestion syndrome.
See a vein specialist who has experience with this condition. A CT or MRI pelvic vascular
study may be enlightening.
Your daughter would need to take the next step, which should have been given by her provider, and that would be a venogram. Those veins most likely can be treated for pain relief. She will need to have a consultation with her provider before she is recommended for the procedure. You may need to bring the images with you to the consultation or make sure the office has them.
She may have early signs of pelvic congestion syndrome. This can cause pelvic pain and cramping as well as painful intercourse. If she does have this it can worsen with pregnancies. She should follow up with her gynecologist and a vascular surgeon. There are treatment methods for this and usually non surgical.