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Case Reports
. 2015 Jul-Aug;31(4):1012-4.
doi: 10.12669/pjms.314.7954.

Rare cause of bilateral groin swelling: Round ligament varicosities

Erdogan Bulbul  1 , Mine Islimye Taskin  2 , Bahar Yanik  3 , Gulen Demirpolat  4 , Ertan Adali  5 , Murat Basbug  6
Affiliations
Case Reports

Rare cause of bilateral groin swelling: Round ligament varicosities

Erdogan Bulbul et al. Pak J Med Sci. 2015 Jul-Aug.

Abstract

Round ligament varicosity (RLV) is rare and almost all cases are pregnant women. RLV appears as a unilateral or bilateral groin swelling. Pain and tenderness may present. Clinical evaluation is inadequate for exact diagnosis because inguinal hernia has similar findings. Ultrasonography (US) is essential when a groin swelling is detected in a pregnant woman. We present gray scale US and colour Doppler US findings of a 32-week pregnant woman with bilateral RLVs at the inguinal canal, parauterine area and in the myometrium.

Keywords: Pregnancy; Round ligament; Ultrasonography; Varicosity.

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Conflict of interest statement

Declaration of interest: Authors have no conflict of interest.

Figures

Fig. 1
Fig. 1
Gray scale and colour Doppler ultrasonography (US) reveals dilated, tortuous channels (white arrows) at the left inguinal region (a, b).
Fig. 2
Fig. 2
The axial image shows dilated veins (white arrows) at the right inguinal canal. Long arrows show the right iliac artery and vein.
Fig. 3
Fig. 3
Gray scale and power Doppler US demonstrates varicosities extending into the myometrium (white arrows). Placenta is shown with thick arrows and umbilical vessels with star respectively (a, b).
See this image and copyright information in PMC

References

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