Pelvic venous thrombosis

While the thrombotic risk associated with lower limb venous reflux has been clearly reported in the literature, evidence is lacking on the potentially similar procoagulant effect generated by a venous incompetence in the pelvic region. A recent publication identified an incidental periuterine venous plexus thrombosis in 3% of the women undergoing a gynaecological consultation for whatever reason, suggesting a potentially underestimated condition worthy of further investigation. The present paper analyses the available literature on the topic, providing an insight covering both pathophysiological and clinical aspects.