3 pregnant women, aged 34, 28, and 39 years respectively, presented with an inguinal swelling. In one patient the swelling was bilateral and painful. Reposition was possible and ultrasound examination revealed round ligament varicosities, the most common cause of an inguinal swelling during pregnancy. Expectative treatment is advised as the condition usually disappears after parturition. It is concluded that in every pregnant woman with an inguinal swelling, sonography with doppler imaging must be performed to confirm the diagnosis of round ligament varicosities to avoid unnecessary surgery.
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J Perinat Med
September 2024
Non-Surgical Foot and Ankle Center, Hospital for Special Surgery, New York, USA.
Radiol Case Rep
September 2024
Department of Ultrasonic, The First People's Hospital of Xiaoshan, Hangzhou, China.
Round ligament varicosities (RLV) are a very rare cause of an inguinal mass, which is very similar to an inguinal hernia, and should be taken seriously by women, especially in mid-pregnancy. Ultrasound can confirm the diagnosis of the RLV and can prevent unnecessary interventions. We report a case of a patient with bilateral RLV: the primigravida was 31 years old, GP, gestation 30w.
View Article and Find Full Text PDFBr J Hosp Med (Lond)
May 2023
Department of General Surgery, Ashford and Saint Peter's Hospitals NHS Trust, Chertsey, UK.
Round ligament varicosity is rare and mainly reported during pregnancy. A systematic review of the literature identified 48 relevant studies reporting a total of 159 cases of round ligament varicosity, 158 of which were associated with pregnancy. Where reported, the mean age of the patients was 30.
View Article and Find Full Text PDFEur J Vasc Endovasc Surg
June 2023
Vascular Surgery Department, Nord Marseille Hospital, Marseille, France.
Medicine (Baltimore)
August 2022
Department of Nephrology, Suining Central Hospital, Suining, Sichuan Province, China.
Rationale: Upper gastrointestinal hemorrhage (UGIH) is defined as hemorrhage originating from the gastrointestinal tract proximal to the ligament of Treitz. The causes of UGIH include esophagitis, gastritis, peptic ulcers, Mallory-Weiss syndrome, and cancer. However, a rare cause of UGIH, such as an accessory spleen, may lead to serious complications if left untreated and can sometimes be very difficult to diagnose preoperatively.
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