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master's thesis
Kongestivni zdjelični sindrom
Zagreb: University of Zagreb, School of Medicine, 2022. urn:nbn:hr:105:955555
Šparac, Sandra
University of Zagreb
School of Medicine
Department of Gynecology and Obstetrics

Institutional repository: Dr Med - University of Zagreb School of Medicine Digital Repository

Cite this document

Šparac, S. (2022). Kongestivni zdjelični sindrom (Master's thesis). Zagreb: University of Zagreb, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:105:955555

Šparac, Sandra. "Kongestivni zdjelični sindrom." Master's thesis, University of Zagreb, School of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:105:955555

Šparac, Sandra. "Kongestivni zdjelični sindrom." Master's thesis, University of Zagreb, School of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:105:955555

Šparac, S. (2022). 'Kongestivni zdjelični sindrom', Master's thesis, University of Zagreb, School of Medicine, accessed 24 December 2024, https://urn.nsk.hr/urn:nbn:hr:105:955555

Šparac S. Kongestivni zdjelični sindrom [Master's thesis]. Zagreb: University of Zagreb, School of Medicine; 2022 [cited 2024 December 24] Available at: https://urn.nsk.hr/urn:nbn:hr:105:955555

S. Šparac, "Kongestivni zdjelični sindrom", Master's thesis, University of Zagreb, School of Medicine, Zagreb, 2022. Available at: https://urn.nsk.hr/urn:nbn:hr:105:955555

Metadata
TitleKongestivni zdjelični sindrom
Title (english)Pelvic congestion syndrome
AuthorSandra Šparac
MentorVanja Fenzl (mentor)
Committee memberŽeljko Duić (predsjednik povjerenstva)
Committee memberDinka Pavičić Baldani (član povjerenstva)
Committee memberVanja Fenzl (član povjerenstva)
GranterUniversity of Zagreb
School of Medicine
(Department of Gynecology and Obstetrics)
Zagreb
Defense date and country2022-07-15, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract
Kongestivni zdjelični sindrom često je neprepoznat uzrok kronične zdjelične boli kod žena, a karakteriziraju ga dilatirane i insuficijentne zdjelične vene. Najčešće zahvaća višerotkinje u premenopauzalnoj dobi. Venska insuficijencija primarno nastaje zbog dilatacije lumena pod utjecajem hormonskih i mehaničkih čimbenika, no može nastati i sekundarno kao posljedica vanjske kompresije. Tipičnu kliničku sliku čini kronična unilateralna ili bilateralna bol u zdjelici, udružena s dismenorejom, dispareunijom i/ili iritacijom mokraćnog mjehura. Pridruženi nalaz mogu biti varikoziteti vulve te varikoziteti donjih udova. Patofiziološki, bol nastaje kao posljedica rastezanja tunicae intimae vena zbog volumnog opterećenja, no može biti i posljedica kompresije na priležeće živce. Dilatacija vena zdjelice kao izolirani nalaz kod asimptomatskih bolesnica nije indikacija za liječenje. Neinvazivne dijagnostičke metode za potvrdu kongestivnog zdjeličnog sindroma uključuju klasični ultrazvuk (transvaginalni, transabdominalni, transperinealni), doppler ultrazvuk, kompjutoriziranu tomografiju (CT) i magnetsku rezonanciju (MR). Invazivne dijagnostičke metode su venografija i laparoskopija. Zlatni standard za dijagnozu kongestivnog zdjeličnog sindroma je venografija. U liječenju bolesnica koriste se potporna i medikamentozna terapija kao konzervativne metode te invazivne kirurške ili radiološke metode.
Abstract (english)
Pelvic congestion syndrome is one of the causes of chronic pelvic pain in women characterized by varicose and insufficient pelvic veins. Most often it affects multiparous women of premenopausal age. Venous insufficiency primarily occurs because of the lumen dilatation due to hormonal and mechanical factors. It can also occur secondarily, as a result of external compression. The typical clinical presentation is chronic, unilateral or bilateral pelvic pain, associated with dysmenorrhea, dyspareunia and/or bladder irritation. Vulvar varicosities and varicose veins of the lower limbs are often present. Pathophysiologically, pain develops as a result of the stretching of tunica intima due to the volume load, but it can also be a consequence of nerve compression. The varicose pelvic veins as an isolated finding in asymptomatic patients are not an indication for treatment. Ultrasound (classic and doppler), computed tomography (CT), magnetic resonance imaging (MRI) and venography are diagnostic procedures of choice for PCS. Venography is the gold standard for the diagnosis of PCS. Non-invasive therapeutic options are supportive and medical therapy. Surgical and radiological treatments are considered as invasive therapeutic options.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:105:955555
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2023-03-06 08:17:19