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Right inguinal swelling caused by round ligament varicosities.
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Figure 1: Right inguinal swelling caused by round ligament varicosities.

Mentions: A 29-year-old woman presented at 36 weeks gestation with a palpable mass and pain in the right groin during her second pregnancy. Her first pregnancy had been uneventful. The symptom started at 32 weeks gestation, and she visited a local obstetrician. The opinion of the obstetrician was inguinal hernia, and he transferred her to a general surgeon. The general surgeon diagnosed a right inguinal hernia, and he transferred her to our hospital. On physical examination, the skin of her right groin looked reddish, bulging, and slightly edematous. The mass (2 × 2 cm) was palpable softly, but tender, and was reducible completely by supine position change (Fig. 1).

Round ligament varicosities mimicking inguinal hernia in pregnancy

Lee do K, Bae SW, Moon H, Kim YK - J Korean Surg Soc (2011)

Bottom Line: The patient was diagnosed using Doppler sonography, managed with conservative therapy, and had an uncomplicated vaginal delivery at 40 weeks.The symptoms were resolved completely by two weeks postpartum.We report a case of round ligament varicosities that was diagnosed at 36 weeks of gestation with a review of the literature.

Affiliation: Department of Surgery, Busan St. Mary's Medical Center, Busan, Korea.

ABSTRACT
Round ligament varicosities during pregnancy are rare, and can easily be mistaken for an inguinal hernia. On physical examination, round ligament varicosities and groin hernia are difficult to distinguish. The diagnosis of round ligament varicosities can be established on gray-scale and color Doppler sonography. We experienced a case of round ligament varicosities in which a 29-year-old woman presented symptoms at 36 weeks gestation. The patient was diagnosed using Doppler sonography, managed with conservative therapy, and had an uncomplicated vaginal delivery at 40 weeks. The symptoms were resolved completely by two weeks postpartum. We report a case of round ligament varicosities that was diagnosed at 36 weeks of gestation with a review of the literature.

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