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      Bulto y molestias en región inguinal en gestante de 16 semanas Translated title: Lump and discomfort in the inguinal region in pregnant woman

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          Abstract

          PRESENTACIÓN Mujer de 34 años, gestante de 16 semanas, con antecedentes personales de conización cervical y cesárea anterior. Consulta por molestias en región inguinal derecha y signos de inflamación en la zona, sin clara tumoración. Refiere que en el primer embarazo presentaba la misma sintomatología. En el período intergestacional no ha notado estos síntomas. A la exploración física se palpa útero, con altura correspondiente a unas 16 semanas de gestación, no se demuestran signos evidentes de hernia, aunque si leve dolor a la palpación. Se decide solicitar ecografía pélvica para descartar la presencia de hernia u otras lesiones de partes blandas en región inguinal.

          Translated abstract

          ABSTRACT 34-year-old woman, 16 weeks pregnant, with a personal history of cervical conization and previous cesarean section. Consultation for discomfort in the right groin region and signs of inflammation in the area, without a clear tumor. She refers that in the first pregnancy she presented the same symptoms. In the intergestational period she has not noticed these symptoms. On physical examination, the 16-week pregnant abdomen did not reveal clear signs of hernia, although there was slight pain on palpation. It was decided to request a pelvic ultrasound to rule out the presence of hernia or other soft tissue lesions in the groin region.

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          Most cited references4

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          Round ligament varices: sonographic appearance in pregnancy.

          Round ligament varices (RLV) are an important clinical entity as they may cause hernia-like symptoms in the absence of a true hernia. When this condition is diagnosed correctly, unnecessary intervention may be prevented. We aimed to determine the significance and anatomy of RLV in pregnancy and to review and describe their clinical and sonographic appearance. We followed prospectively five patients who presented during pregnancy with clinical symptoms suspicious of an inguinal hernia. All patients were diagnosed with RLV on ultrasound examination. All patients were managed conservatively and in all five cases, RLV resolved spontaneously postpartum. The diagnosis of RLV should be considered in pregnant women presenting with a groin mass. Sonography is diagnostic and can save unnecessary surgical exploration and associated morbidity. (c) 2008 ISUOG. Published by John Wiley & Sons, Ltd.
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            A Case of Round Ligament Varices Presenting in Pregnancy

            Patient: Female, 34 Final Diagnosis: Round ligament varices Symptoms: Inguinal mass/inflammation Medication: — Clinical Procedure: Ultrasound Specialty: Radiology Objective: Challenging differential diagnosis Background: Round ligament varices (RLV) are rare and are almost exclusively seen in pregnant women. RLV may clinically resemble an inguinal hernia, inguinal mass, or other pathology involving the inguinal canal and round ligament. Ultrasound imaging is important to make the diagnosis of RLV. Case Report: A 34-year-old Hispanic woman, gravida 1 para 0, at 34 weeks gestation, presented to our outpatient department with a complaint of a small, painless, reducible right inguinal mass. Gray-scale sonography showed an asymmetric right inguinal anechoic mass composed of multiple serpentine tubular channels, which became more prominent when the patient performed a Valsalva maneuver. Color Doppler ultrasound imaging showed a hyper vascular structure with a venous flow pattern, consistent with RLV. The patient was treated conservatively and had an uneventful vaginal delivery at 38 weeks gestation. At two weeks postpartum, the RLV spontaneously regressed and her symptoms completely resolved. Conclusions: RLV is a rare condition that should be recognized and diagnosed promptly to prevent patients from undergoing unnecessary surgical exploration. Ultrasound is the diagnostic imaging procedure of choice for the diagnosis of RLV, as well as for patient follow-up and to exclude possible complications associated with RLV.
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              Round ligament varices in pregnancy mimicking inguinal hernia: An ultrasound diagnosis

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                Author and article information

                Journal
                sm
                Sanidad Militar
                Sanid. Mil.
                Ministerio de Defensa (Madrid, Madrid, Spain )
                1887-8571
                March 2022
                : 78
                : 1
                : 45-46
                Affiliations
                [1] Madrid orgnameHospital Central de la Defensa Gómez Ulla orgdiv1Servicio de Radiodiagnóstico España
                [2] Madrid orgnameHospital Central de la Defensa Gómez Ulla orgdiv1Servicio de Radiodiagnóstico España
                Article
                S1887-85712022000100045 S1887-8571(22)07800100045
                10.4321/s1887-85712022000100009
                4f7efd1a-d84d-40c7-86f9-4a66d0e164bb

                http://creativecommons.org/licenses/by/4.0/

                History
                : 10 January 2022
                : 15 November 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 4, Pages: 2
                Product

                SciELO Spain

                Categories
                Imagen Problema

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