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KMID : 0857020090240020242
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Kosin Medical Journal
2009 Volume.24 No. 2 p.242 ~ p.246
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A Case of Pelvic Congestion Syndrome Mimicking Acute Pyelonephritis
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Kim Ja-Young
Kim Bong-Jin
Lim Chang-Sup
Hong Joung-Boom
Choi Won-Hyuck
Her Jin
Heo Dong
Rim Hark
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Abstract
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Flank pain is a common symptom needed to developing differential diagnosis. Mostly, underlying cause of the renal and upper urinary system such as urinary stone, pyelonephritis is attributed to flank pain.
In different way, pelvic congestion syndrome refers to a condition in which characteristic symptoms of shifting location of pain, deep dyspareunia, post-coital pain, and exacerbation of pain after prolonged standing are associated with radiological findings of pelvic varicosities (dilated uterine and ovarian veins) that display reduced blood flow. Flank pain is also provoked by pelvic congestion syndrome. A specific diagnosis for the condition is often difficult, and mimicking others. We experienced a case of pelvic congestion syndrome mimicking acute pyelonephritis or cystitis with chronic flank and pelvic pain.
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KEYWORD
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pelvic congestion syndrome, acute pyelonephritis, flank pain
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