Fig. 1: Injection of contrast demonstrates dilated, large and numerous left ovarian veins.

Fig. 2: Injection of contrast into left ovarian vein demonstrates marked bilateral uterine and ovarian varicosities with drainage into internal iliac veins bilaterally. The right ovarian vein is not visualized, likely a result of occlusion.

Fig. 3: Injection of contrast into right internal iliac vein again demonstrating marked bilateral uterine and vaginal varicosities.

Fig. 4: Injection of contrast into left ovarian vein demonstrates marked decrease in flow to the ovarian and uterine varicosities.

Fig. 5: Injection of contrast into right internal iliac vein demonstrating significant decrease in size of right periuterine and vaginal varicosities.

Fig. 6: Injection of contrast into sacral venous plexus demonstrating good cross filling to opacify left internal and common iliac veins. There is no evidence of varicosities.

Fig. 7: Injection of contrast in large right uterine vein varix.

Fig. 8: Venogram performed after embolization of large right uterine vein varix demonstrating markedly reduced flow of contrast.

Fig. 9: Injection of contrast into distal left ovarian vein again demonstrating large varix.

Fig. 10: Injection of contrast into left ovarian vein varix during inflation of occlusion balloon with collateral draining veins.

Fig. 11: Injection of contrast into proximal left ovarian vein with no significant residual opacification identified.