Round Ligament Inguinal Hernia

Follows the round ligament in females 8.

Round ligament inguinal hernia. The inguinal ligament is at the bottom of the inguinal canal a passage in the abdominal wall through which the spermatic cord passes in men and the round ligament passes in women. If you have a hernia in or near this passageway it results in a protruding bulge. The round ligament passes from the lateral uterus through the deep inguinal ring and along the inguinal canal and terminates at the labia majora. Round ligament forms covering of the sac in an inguinal hernia in female children.

Round ligament varices may also mimic bilateral inguinal hernias. In one case a woman in the 28th week of gestation developed a lump in the left pubic area. A weakness in the fascial floor of the inguinal canal 10. Prematurity and low.

We report the case of a 36 year old woman who presented with signs and symptoms of an irreducible inguinal hernia. The diagnosis of round ligament varicosities can be established on gray scale and color doppler sonography. Rlvs arise from the veins draining the round ligament and the inguinal canal into the inferior epigastric vein. Should it be preserved or ligated transfixed.

This is an area. On physical examination round ligament varicosities and groin hernia are difficult to distinguish. Mesothelial cysts of the round ligament are rare lesions frequently masquerading as inguinal hernias and should be included in the differential diagnosis of any inguinal mass. All of the following confer an increased risk for indirect inguinal hernia.

Round ligament varicosities during pregnancy are rare and can easily be mistaken for an inguinal hernia. 3 this differentiation is important as the management of round ligament varices differs significantly from that of a symptomatic hernia. Firstly mri and if not possible a cat scan can assist when there is diagnostic dilemma but eventually surgical exploration provides therapy and defines the exact nature of the mass. Several cases of varicosity of the round ligament during pregnancy leading to rlp have been reported although they were frequently misdiagnosed as inguinal hernia.

It may be painful during. 2 grey scale and colour doppler ultrasonography is able to distinguish between the two diagnoses accurately. Leiomyomas of the round ligament can be a possible but rare etiology of the inguinal mass and can be mistaken for an inguinal hernia or lymphadenopathy. What would be long term implications of cutting the round.

Herniates medial to the inferior epigastric artery 2. The round ligament contains arteries veins lymphatics and nerves. In women each canal is the location of passage for the round ligament of the uterus.