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Varicose veins of the pelvis
Although the etiology of pelvic congestion syndrome is unclear, it appears that gross dilatation, valve incompetence, and reflux of the ovarian veins may be causal. Anatomic and/or hormonal factors may lead to insufficiency of the ovarian and/or internal iliac veins, resulting in peri-ovarian pelvic varicosities. Such tubo-ovarian varicoceles may be the female equivalent of testicular varicoceles.
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