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Transmyometrial Pelvic Venography

From the Department of Obstetrics and Gynecology, Louisiana State University School of Medicine, New Orleans, La.

Abstract

Studies of the venous pattern of the uterus and adnexa by means of an opaque medium injected into the myometrium through an intracavity needle delineate the outline of tumors too small to be identified otherwise, clarifies symptom- producing disorders of the pelvic circulation, and illustrates the course of aberrant veins. The last is especially valuable in demonstrating ureteral compression from an abnormally located right ovarian vein, a anatomic alteration that may create hydroureter and hydronephrosis. The method and illustrative case reports are detailed.