Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 11 2 2026 08 29 56 60 EN Manzoor Hussain Department of Radiodiagnosis, District Hospital Kargil, Ladakh, India. Nargis Banoo Department of Paediatrics, District Hospital Kargil, Ladakh, India. Sajjad Hussain Department of General Surgery, District Hospital Kargil, Ladakh, India. Feroz Ahmad Department of General Surgery, District Hospital Kargil, Ladakh, India. 2025 12 02 2026 06 28 We present the case of a 32-year-old female who presented with chronic pelvic pain. On imaging, she was found to have a left renal arteriovenous malformation (AVM) and congested pelvic veins. This case underscores the importance of considering renal AVMs in the differential diagnosis of pelvic congestion syndrome (PCS) and highlights the utility of ultrasound (USG) and computed tomography (CT) in diagnosing this condition. https://crcp.tums.ac.ir/index.php/crcp/article/view/1044 https://crcp.tums.ac.ir/index.php/crcp/article/download/1044/779