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We present a case of an 18 year-old woman with previous history of congenital cardiopathy, surgically treated in the infancy, referred for multidetector-row CT (MDCT) evaluation of chronic pelvic pain. Pelvic congestion syndrome caused by pelvic varicocele was demonstrated and multiple congenital anomalies (agenesis of the left common and external iliac artery, absence of the infrarenal vena cava, septate uterus and congenital spinal malformations including a thoracic butterfly vertebra, coccygeal agenesis and sacral hypoplasia) were incidentally discovered. To our knowledge, such a combination of congenital anomalies has not previously been documented in the literature. Keywords: Multiple congenital anomalies yndrome. Congenital cardiopathy. External iliac artery agenesis. Infrarenal vena cava anomalies. Pelvic congestion syndrome. Radiological diagnosis., Introduction Many progresses have been achieved in the last years in the investigation of the causes of congenital malformations, however most of they (40-60%), don't have still a satisfactory explanation. [...]

We present a case of an 18 year-old woman with previous history of congenital cardiopathy, surgically treated in the infancy, referred for multidetector-row CT (MDCT) evaluation of chronic pelvic pain. Pelvic congestion syndrome caused by pelvic varicocele was demonstrated and multiple congenital anomalies (agenesis of the left common and external iliac artery, absence of the infrarenal vena cava, septate uterus and congenital spinal malformations including a thoracic butterfly vertebra, coccygeal agenesis and sacral hypoplasia) were incidentally discovered. To our knowledge, such a combination of congenital anomalies has not previously been documented in the literature. Keywords: Multiple congenital anomalies yndrome. Congenital cardiopathy. External iliac artery agenesis. Infrarenal vena cava anomalies. Pelvic congestion syndrome. Radiological diagnosis., Introduction Many progresses have been achieved in the last years in the investigation of the causes of congenital malformations, however most of they (40- 60%), don't have still a satisfactory [...]