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Case report


Round Ligament Varicosity Thrombosis Presenting as an Irreducible Inguinal Mass in a Postpartum Woman

Carol NgGloria Ting Wong
Department of Radiology, Princess Margaret Hospital, Lai Chi Kok, Hong Kong.
Date of Submission: 10-Dec-2018, Date of Acceptance: 17-Feb-2019, Date of Web Publication: 15-Jun-2019.
Corresponding Author:
Corresponding Author

Carol Ng

E-mail: carol26@gmail.com

Corresponding Author:
Corresponding Author

Carol Ng

E-mail: carol26@gmail.com

DOI: 10.25259/JCIS-19-2019 Facebook Twitter Google Linkedin

ABSTRACT


Round ligament varicosities occur almost exclusively in pregnant and postpartum women and present similarly to inguinal hernias clinically, thus posing diagnostic challenges to clinicians. The distinction of the two conditions is important as round ligament varicosities do not require surgery while inguinal hernias do. Rarely, round ligament varicosites may be complicated by thrombosis or hemorrhage. In this case report, we present a rare case of round ligament varicosity (RLV) which has been complicated by thrombosis. The radiological features on ultrasound and contrast computed tomography of a thrombosed RLV are presented.
Keywords: Inguinal mass in pregnancy, Round ligament varicosity, Thrombosis of round ligament varicosity

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