Pelvic Vein Issues Causing Pain When Squatting: Differential Diagnosis
Single Most Likely Diagnosis
- Pelvic Venous Congestion Syndrome: This condition is characterized by the dilation of pelvic veins, which can cause pain, especially when squatting or engaging in activities that increase intra-abdominal pressure. The pain is often described as a dull ache or heaviness in the pelvic area.
Other Likely Diagnoses
- Varicose Veins in the Pelvis: Similar to varicose veins in the legs, pelvic varicose veins can cause pain, discomfort, and swelling in the pelvic area, which may worsen with squatting.
- Pelvic Vein Thrombosis: A blood clot in the pelvic veins can cause pain, swelling, and discomfort, especially when engaging in physical activities like squatting.
- May-Thurner Syndrome: This condition involves the compression of the left common iliac vein by the right common iliac artery, which can lead to pelvic vein thrombosis and cause pain when squatting.
Do Not Miss Diagnoses
- Ovarian Torsion: Although not directly related to pelvic veins, ovarian torsion is a life-threatening condition that can cause severe pelvic pain, which may worsen with movement or squatting. It requires immediate medical attention.
- Deep Vein Thrombosis (DVT) with Pulmonary Embolism Risk: DVT in the pelvic veins can increase the risk of pulmonary embolism, which is a life-threatening condition. It is essential to consider this diagnosis, especially if the patient has risk factors for DVT.
Rare Diagnoses
- Nutcracker Syndrome: This rare condition involves the compression of the left renal vein between the aorta and the superior mesenteric artery, which can cause pelvic pain, varicose veins, and other symptoms.
- Pelvic Venous Malformations: Abnormal formations of pelvic veins can cause pain, swelling, and other symptoms, especially when engaging in physical activities like squatting.