A rare cause similar to inguinal hernia in pregnancy: Two cases of round ligament varicosity
Round ligament varicosities (RLVs) which are a very rare cause of inguinal swelling can mimic an inguinal hernia. RLVs should be considered in the differential diagnosis of inguinal swelling in a female, especially during pregnancy. The diagnosis of RLV can be established on Gray-scale with color Doppler sonography, and, if diagnosed correctly, unnecessary intervention may be prevented. We report two cases of round ligament varicosities in a 30-year-old woman at 30-week gestation and 34-year-old woman at 24-week gestation; these patients were diagnosed using ultrasonography and spontaneously resolved after delivery.
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- [1] Chi C, Taylor A, Munjuluri N, Abdul-Kadir R. A diagnostic
dilemma: round ligament varicosities in pregnancy. Acta
Obstet Gynecol Scand 2005; 84:1126-27. doi:10.1111/j.0001-
6349.2005.00120c.x.
- [2] Oh SN, Jung SE, Rha SE, et al. Sonography of various cystic
masses of the female groin. J Ultrasound Med 2007; 26:1735-
42. doi:10.7863/jum.2007.26.12.1735.
- [3] Garcia-Paredes L.F, Torres-Ayala SC, Rivera – Hernández
, Mojica WR. A case of round ligament varices presenting in
pregnancy. Am J Case Rep 2017; 18:1194-7. doi: 10.12659/
ajcr.905753
- [4] Cicilet S. Acute groin pain in pregnancy: a case of round
ligament varicocele. BJRcase Rep 2017; 3: 20150517. doi:
10.1259/bjrcr.20150517
- [5] Ryu KH, Yoon J-H. Ultrasonographic diagnosis of round
ligament varicosities mimicking inguinal hernia: Report
of two cases with literature review. Ultrasonography 2014;
33:216-21. doi: 10.14366/usg.14006.
- [6] Y. Mine, S. Eguchi, A. Enjouji, et al. Round ligament varicosities
diagnosed as inguinal hernia during pregnancy: a case report
and series from two regional hospitals in Japan. Int J Surg Case
Rep 2017; 36:122-5. doi: 10.1016/j.ijscr.2017.05.006
- [7] Ng C, Wong GT. Round ligament varicosity thrombosis
presenting as an irreducible inguinal mass in a postpartum
woman. J Clin Imaging Sci 2019; 9:28. doi: 10.25259/JCIS-19-
2019
- [8] McKenna DA, Carter JT, Poder L, et al. Round ligament
varices: sonographic appearance in pregnancy. Ultrasound
Obstet Gynecol 2008; 31:355-7. doi: 10.1002/uog.5271.
- [9] Jamadar DA, Jacobson JA, Morag Y, et al. Sonography of
inguinal region hernias. AJR Am J Roentgenol 2006; 187:185-
90. doi: 10.2214/ajr.05.1813