Round Ligament Varicosities Vs Inguinal Hernia

Round ligament varicosities should be considered in the differential diagnosis of a groin swelling in a female especially during pregnancy.

Round ligament varicosities vs inguinal hernia. Round ligament varicosities mimicking inguinal hernia. I was operating on a 4 year old girl with unilateral inguinal hernia. Both of these conditions cause pain in the groin. The diagnosis of round ligament varicosities can be established on grayscale and color doppler ultrasonography.

A diagnostic challenge during pregnancy. Congestion of the pelvic and iliac veins may give rise to round ligament varicosities mimicking inguinal hernia. Enlargement of the blood vessels of the round ligament can occur during pregnancy causing pain and swelling. Varicosities arising from the round ligament are rare are most commonly seen during pregnancy and manifest as acute swelling and pain in the groin 33 34.

Varicosities around round ligament occasionally cause round ligament pain 2 such pain is mostly localized in the groin and often pain misdiagnose as inguinal hernia. The pain might catch you off guard but it s considered a normal occurrence. Reducible inguinal swelling presenting during pregnancy not always a hernia. In female inguinal hernia the inguinal canal contains only round ligament which can be sacrificed and unlike in males there are no hassles of dissecting cord structures meticulously.

The clinical presentation associated with a round ligament varicocele is similar to that associated with an inguinal hernia and the distinction between these two entities can be difficult. Guillem p bounoua f duval g. Round ligament pain is a pregnancy symptom that s common during the second trimester. Round ligament varicosities during pregnancy are rare and can easily be mistaken for an inguinal hernia.

I made an inguinal incision and deepened till the external oblique. 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. The usual diagnosis of a soft reducible inguinal mass in pregnant women is inguinal hernia but round ligament varicosities also must be considered.

The round ligament pain in the groin is also caused by detachment of ligament and spread of endometriosis along the round ligament. Hernia is rare in girls and the inguinal variety is rarer still. The distinction between the two is difficulty clinically as symptoms and signs are. The varicocoele starts at the veins draining the round ligament and the inguinal canal and is associated with engorgement of the veins of the ovaries and the pelvis during pregnancy.

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