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Abdominal pelvic computed tomography scan with contrast. (
A
) Coronal plane showing a double left renal vein (LRV) with a retroaortic component (black star) caudal to the main renal vein and a dilated left ovarian vein (white arrow). (
B
) Transversal plane showing the anterior branch of the LRV (thin arrow) and the aorta artery (thick arrow). (
C
) Coronal plane showing the posterior branch of the LRV (thin arrow) and the aorta artery (thick arrow).
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Finally, the computed tomography with intravenous contrast ( Fig. 1 ) and magnetic resonance imaging ( Fig. 2 ) showed a double LRV with a retroaortic component, prominent left parauterine circulation and engorgement of the ipsilateral ovarian vein with a caliber of 8 mm and a grade II reflux.
Venography image showing a group of pelvic varicose veins (white star) with a maximum caliber of 8 to 9 mm, draining into the left ovarian and internal iliac veins.
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This procedure was performed through the right basilic vein and confirmed the existence of a left circumaortic renal vein and a group of dilated pelvic varicose veins draining into the left ovarian and internal iliac veins ( Fig. 3 ).
Venography image showing the circumaortic left renal vein and the Hydrocoils (black star) used for the parauterine and left ovarian veins embolization.
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An embolization at a distal level of these vessels was accomplished using 8 to 10 mm Hydrocoils under a 0.035" guide ( Fig. 4 ).