This can lead to elevated pressure within the remaining renal vein with reflux to the ovarian vein possibly resulting in pelvic varices (Coakley et al. 1999). Blood pools from the pelvis and/or legs backs up and produces congestion, which may result in many different indications which include pelvic ache, bloating, https://sgvasculargrp.com/medical-condition/pelvic-congestion-syndrome/