Other Studies:
XR for lumbar spine, foot, hip, tib/fib: normal
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<br>LS MRI: showed mild L5-S1 bilateral facet arthropathy w/o canal or foraminal stenosis.
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<br>EMG/NCS: normal LLE
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<br>Bilateral ABI US: normal.
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<br>CTA AA: large parauterine veins (L>R). L ovarian vein enlarged indicative of pelvic congestion syndrome. 3 vessel runoff was normal bilaterally w/ no acute findings in abdomen or pelvis. <a href="CaseStudyImages/CS1RunningTheDistanc-982.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a>
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<br>Lower extremity duplex US: showed decreased flow in L common iliac vein due to compression by R common iliac artery. Negative for DVT. <a href="CaseStudyImages/CS2CS1RunningTheDist-982.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS3CS2CS1RunningTheD-982.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <a href="CaseStudyImages/CS4CS3CS2CS1RunningT-982.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> <a href="CaseStudyImages/CS5CS4CS3CS2CS1Runni-982.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a>
Consultations:
Worsening symptoms with exercise hinted at exertional compartment syndrome, but Orthopedics consult did not feel her symptoms were consistent.
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<br>A diagnosis of pelvic congestion syndrome was made on CT, but OB-GYN was consulted and did not believe it was the cause of the patient's LLE symptoms.
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