Pelvic varices in women consist of tortuous and dilated parauterine and ovarian veins and have a characteristic appearance at CT and MRI. Imaging is critical in the evaluation of pelvic varices, both to prevent confusion with other conditions and because pelvic varices may be secondary to serious underlying pathology. Additionally, primary pelvic varices are associated with the pelvic pain syndrome, and patients with the pelvic pain syndrome may benefit from therapeutic venous embolization. Secondary pelvic varices are rarely associated with pelvic pain.