Akademik Veri Yönetim Sistemi
SDÜ Tıp Fakültesi Dergisi, cilt.29, sa.1, ss.67-73, 2022 (Hakemli Dergi)
Objective Celiac disease (CD) is characterized by an immune response in genetically gluten-sensitive individuals resulting in inflammatory damage of the small intestine. The radiological identification of pelvic venous dilatation (PVD) is important as it can contribute to the diagnosis of different spectrums of pelvic and systemic diseases. In our study, we aimed to determine the prevalence of PVD in CD patients and to present our findings with the literature. Materials and Methods This retrospective observational study was approved by the institutional review board in our institution. All patients were patients diagnosed with CD by clinical evaluation, serological data, and intestinal biopsy, and who underwent CT between October 2011 and March 2020 in our medical center. CD patients (n=149) and control group (n=250) who had contrastenhanced CT were evaluated for PVD. In all patients, PVD prevalence was examined in the patient and the control group. The diameter of the pelvic veins was measured and noted. Complaints of the patients were noted from the hospital records. Results Among a total of 149 histopathologically proven patient groups, there were 93 female and 56 male patients with a mean age of 35.11±13.03 and 36.23±15.06 years, respectively. Among a total of 250 control groups; there were 145 females and 105 males with a mean age of 38.65±15.38 and 37.25±13.56 years, respectively. PVD prevalence in the female and male were 60.22% (n=56) and 41.07% (n=23) in CD patients, respectively. 46.75% (n=36) CD patients had abdominal pain and were correlated with PVD (p<0.05). Mesenteric engorgement and small bowel fold abnormalities were correlated with PVD (p<0.05). Conclusions Pelvic congestion syndrome is one of the causes of chronic pelvic pain thought to be caused by PVD, which is very common in women and can potentially lead to significant disability. Abdominal pain is an important reason for the application of imaging methods in CD. In our study, abdominal pain with CD patients was correlated with PVD. Also, the prevalence of PVD was considerably high. Therefore the increased prevalence of PVD seen on contrast-enhanced CT in CD patients may be a component of pelvic complaints.