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  • Title: Diagnosis of pelvic varicosities in women with chronic pelvic pain.
    Author: Beard RW, Highman JH, Pearce S, Reginald PW.
    Journal: Lancet; 1984 Oct 27; 2(8409):946-9. PubMed ID: 6149342.
    Abstract:
    45 women with a history of lower-abdominal pain of more than 6 months' duration for which no obvious cause had been found during laparoscopy (pelvic-pain syndrome) were investigated with transuterine pelvic venography. For comparison venography was carried out on 10 women in whom pathology was considered to be a likely cause for their pain and 8 women admitted for tubal ligation and who had no pain. Pelvic varicosities and congestion unrelated to parity or the menstrual cycle were commonly found in women with the pelvic-pain syndrome. A score for quantifying the severity of the pelvic vascular abnormalities has been devised; a value of 5 or more gave a diagnostic sensitivity of 91% and a specificity of 89% for the pelvic-pain syndrome.
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