Abstract
RATIONALE: Ovarian varicocele is a rare yet long-lasting disease in female. Endovascular interventional embolization therapy is the recommended treatment for ovarian varicocele; however, existing embolic materials are prone to causing reocclusion and recurrence of ovarian varicose veins. This study aims to assess the efficacy of vascular plugs in embolizing ovarian varicoceles, thereby providing a novel treatment option for ovarian varicose veins. PATIENT CONCERNS: A 42-year-old middle-aged woman was admitted to the vascular surgery department due to persistent lower abdominal distension and pain for half a year. DIAGNOSES: Preoperative full abdominal enhanced CT revealed bilateral ovarian varicocele, while abdominal vascular ultrasonography showed no evidence of nutcracker syndrome. INTERVENTIONS: Interventional strategy: injection of sclerosing agent into the distal branch vessels and placement of uncontrolled coils, and placement of type II vascular plug in the proximal main trunk vessels. OUTCOMES: The vascular embolization procedure was successfully performed. Intraoperative angiography confirmed the absence of blood reflux in the ovarian vein, and follow-up enhanced abdominal CT scans at 3 months post-operation revealed no evidence of recanalization in the ovarian vein. No adverse events were reported during the operation, and the radiation exposure time was minimal. The absence of complications during the perioperative period indicates that this method is safe. Furthermore, there was a significant improvement in postoperative abdominal pain. LESSONS: This innovative method offers a safe and efficacious alternative therapeutic option for patients suffering from ovarian varicose vein.