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Round ligament varicosities mimicking inguinal hernia in pregnancy

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À̵µ°æ, ¹è¼º¿ì, ¹®È­¼÷, ±èÀ¯°æ,
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À̵µ°æ ( Lee Do-Kyung ) 
Busan St. Marys Medical Center Department of Surgery

¹è¼º¿ì ( Bae Sung-Woo ) 
Good Moonhwa Hospital Department of Surgery
¹®È­¼÷ ( Moon Hwa-Sook ) 
Good Moonhwa Hospital Department of Obstetrics
±èÀ¯°æ ( Kim Yoo-Kyung ) 
Good Moonhwa Hospital Department of Radiology

Abstract


Round ligament varicosities during pregnancy are rare, and can easily be mistaken for an inguinal hernia. 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. We experienced a case of round ligament varicosities in which a 29-year-old woman presented symptoms at 36 weeks gestation. The patient was diagnosed using Doppler sonography, managed with conservative therapy, and had an uncomplicated vaginal delivery at 40 weeks. The symptoms were resolved completely by two weeks postpartum. We report a case of round ligament varicosities that was diagnosed at 36 weeks of gestation with a review of the literature.

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Round ligament varicosity; Pregnancy; Inguinal hernia; Sonography

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