Bilateral round ligament varicosities mimicking inguinal hernia during pregnancy

F.F.A. IJpma*, K. M. Boddeus, H. H. de Haan, D. Van Geldere

*Corresponding author for this work

Research output: Contribution to journalCase note

30 Citations (Scopus)
80 Downloads (Pure)

Abstract

Round ligament varicosities during pregnancy have not been reported extensively. The swelling mimics an inguinal hernia and should be considered in the differential diagnosis of a groin swelling during pregnancy. We report a case of a pregnant woman with bilateral round ligament varicosities. At 22 weeks of pregnancy she was operated on based on the clinical suspicion of a painful inguinal hernia on the right side. Surgical exploration revealed varicosities of the round ligament, and resection was performed. Four weeks later the same diagnosis was made by duplex sonography of a painful swelling in the left groin. Increased pain necessitated surgical exploration and resection of the varicosities on the left side. The postoperative course on both sides was uneventful and without pain during the rest of her pregnancy, during labor or post partum.

Original languageEnglish
Pages (from-to)85-88
Number of pages4
JournalHernia
Volume13
Issue number1
DOIs
Publication statusPublished - 1-Jan-2009
Externally publishedYes

Keywords

  • Inguinal hernia
  • Pregnancy
  • Round ligament
  • Round ligament varicosities
  • Varicosities

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