J Korean Soc Ultrasound Med.  2011 Dec;30(4):277-280.

Round Ligament Varicosities During Pregnancy: Case Report

• Baek CK
• Oh YT
• Jung DC

Abstract

There are various causes of a painful palpable mass in the groin during pregnancy. The differential diagnoses of an inguinal mass include hernia, lymphadenopathy, mesothelial cyst, cystic lymphangioma, neoplasms (lipoma, leiomyoma and sarcoma), endometriosis, embryonic remnants and round ligament varicosities. Among them, round ligament varicosities can be easily misdiagnosed as an inguinal hernia in a pregnant woman. These lesions should be managed conservatively because they resolve spontaneously during the postpartum period. Ultrasonography can help make the diagnosis of round ligament varicosities and so prevent unnecessary surgical intervention and the associated morbidity. Herein we report on a case of round ligament varicosities that presented during pregnancy and this condition was readily diagnosed via Doppler sonography.

Keyword

Round ligament varicosities; Pregnancy; Ultrasonography (US); Magnetic resonance imaging (MRI)

MeSH Terms

Diagnosis, Differential
Endometriosis
Female
Groin
Hernia
Hernia, Inguinal
Humans
Leiomyoma
Lymphangioma, Cystic
Lymphatic Diseases
Postpartum Period
Pregnancy
Pregnant Women
Round Ligament of Uterus
Round Ligaments