case_images: PMC8354767_01
case_images: Abdominal pelvic computed tomography scan with contrast. (
  A
  ) Coronal plane showing a double left renal vein (LRV) with a retroaortic component (black star) caudal to the main renal vein and a dilated left ovarian vein (white arrow). (
  B
  ) Transversal plane showing the anterior branch of the LRV (thin arrow) and the aorta artery (thick arrow). (
  C
  ) Coronal plane showing the posterior branch of the LRV (thin arrow) and the aorta artery (thick arrow).
case_images: 10-1055-s-0041-1730998-i200539cr-1.jpg
case_images: PMC8354767_01_10-1055-s-0041-1730998-i200539cr-1.jpg
case_images: FI200539cr-1
case_images: Finally, the computed tomography with intravenous contrast ( Fig. 1 ) and magnetic resonance imaging ( Fig. 2 ) showed a double LRV with a retroaortic component, prominent left parauterine circulation and engorgement of the ipsilateral ovarian vein with a caliber of 8 mm and a grade II reflux.
case_images: Venography image showing a group of pelvic varicose veins (white star) with a maximum caliber of 8 to 9 mm, draining into the left ovarian and internal iliac veins.
case_images: 10-1055-s-0041-1730998-i200539cr-3.jpg
case_images: PMC8354767_01_10-1055-s-0041-1730998-i200539cr-3.jpg
case_images: FI200539cr-3
case_images: This procedure was performed through the right basilic vein and confirmed the existence of a left circumaortic renal vein and a group of dilated pelvic varicose veins draining into the left ovarian and internal iliac veins ( Fig. 3 ).
case_images: Venography image showing the circumaortic left renal vein and the Hydrocoils (black star) used for the parauterine and left ovarian veins embolization.
case_images: 10-1055-s-0041-1730998-i200539cr-4.jpg
case_images: PMC8354767_01_10-1055-s-0041-1730998-i200539cr-4.jpg
case_images: FI200539cr-4
case_images: An embolization at a distal level of these vessels was accomplished using 8 to 10 mm Hydrocoils under a 0.035" guide ( Fig. 4 ).