Since it is a rare disease, it remains a diagnosis of exclusion of other conditions with similar symptoms. The diagnosis is supported by the results of imaging studies such as computed tomography or magnetic resonance imaging, ultrasound of the abdomen (with or without doppler imaging) or intravenous urography. Specialist vascular ultrasonographers should routinely look for left ovarian<unk>  reflux in patients with lower limb varices especially if not associated with long or short saphenous reflux. The clinical pattern of varices differs between the two types of lower limb varices. CT scanning is used to exclude abdominal or pelvic pathology. CT-Angiography/Venography can often demonstrate left ovarian<unk>  reflux and image an enlarged left ovarian<unk>  but is less sensitive and much more expensive than duplex Doppler ultrasound examination. Ultrasound requires that the ultrasonographer be experienced in venous vascular ultrasound and so is not always readily available. A second specialist ultrasound exam remains preferable to a CT scan. As a wide range of pelvic and abdominal pathology can cause symptoms consistent with those symptoms due to left ovarian<unk>  reflux, prior to embolisation of the left ovarian<unk> , a careful search for such diagnoses is essential. Consultation with general surgeons, gynaecologists, and possibly CT scanning should always be considered.
Ovarian vein syndrome
Ovarian torsion
Ovarian apoplexy
Salpingitis
Tubo-ovarian abscess
Ectopic pregnancy
Ovarian cyst
PELVIS syndrome