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Round ligament varicosities: a rare cause of groin swelling in pregnancy

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Abstract

Round ligament varicosities (RLVs) are rare, and only occur in pregnancy. The swelling due to RLVs mimics an inguinal hernia and generally resolves spontaneously after delivery. Distinguishing between varicosities and hernias is critical to avoid unnecessary surgeries on pregnant women. We aimed to determine the significance of RLVs during pregnancy and to review and describe their clinical and sonographic characteristics. All patients were diagnosed by gray scale and color Doppler ultrasonography, managed conservatively, and RLVs regressed spontaneously postpartum.

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Author information

Correspondence to Ahmet Veysel Polat.

Electronic supplementary material

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Video 1. Vascularities of the mass are engorged after the Valsalva maneuver (MPG 1054 kb)

Video 2. A color Doppler US demonstrates that the lesion is highly hypervascular (MPG 1132 kb)

Video 3. Varicosities of the round ligament in a 29-year-old pregnant woman. US shows an ovoid, multi-septated cystic mass (MPG 970 kb)

Video 1. Vascularities of the mass are engorged after the Valsalva maneuver (MPG 1054 kb)

Video 2. A color Doppler US demonstrates that the lesion is highly hypervascular (MPG 1132 kb)

Video 3. Varicosities of the round ligament in a 29-year-old pregnant woman. US shows an ovoid, multi-septated cystic mass (MPG 970 kb)

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Polat, A.V., Aydin, R., Polat, A.K. et al. Round ligament varicosities: a rare cause of groin swelling in pregnancy. Abdom Imaging 38, 1178–1181 (2013). https://doi.org/10.1007/s00261-013-9984-9

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Keywords

  • Round ligament
  • Varicosities
  • Inguinal hernia
  • Pregnancy
  • Color Doppler ultrasonography
  • Ultrasonography