Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Varices of the Round Ligament with Thrombosis (A Review Article and Report)


Affiliations
1 Department of Radiology, Zabol University of Medical Sciences, Zabol, Iran, Islamic Republic of
2 Zabol University of Medical Sciences, Zabol, Iran, Islamic Republic of
     

   Subscribe/Renew Journal


Round ligament is a ligament that extends from the lateral uterus to the labia major, including arteries, veins, lymph nodes and nerve. Round ligament varicositis or RLV is a rare medical condition, signifying the presence of prominent veins in the ligament, mostly during pregnancy. RLV, quite similar to an inguinal hernia, often emerges as a soft, reducible, without tenderness mass is quite visible in standing position and difficult to discern in supine position; this similarity in emergence makes RLV easily confused with obstructive inhomogeneous hernia, as a result, causing an unnecessary surgery during pregnancy. The present paper analyzed a one-way RLV case in the right indigenous area with release to the labia major along with the varicose vein thrombosis. Color Doppler ultrasound is a precise diagnostic method to exclude all other possible diagnosis and confirm the detection of RLV. Therefore, the use of doppler sonography can be very important in preventing unnecessary surgery, especially in pregnant women.

Keywords

Varices , Round Ligament , Thrombosis.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Castro CM, Carnero RM, Jiménez YR, Humanes LL. Varices in the round ligament. Radiologia. 2009; 52 (1): 81-4.
  • McKenna D, Carter J, Poder L, Gosnell J, Maa J, Pearl J, et al. Round ligament varices: sonographic appearance in pregnancy. Ultrasound in Obstetrics and Gynecology. 2008; 31 (3):355-7.
  • Uzun M, Akkan K, Coşkun B. Round ligament varicosities mimicking inguinal hernias in pregnancy: importance of color Doppler sonography. Diagn Interv Radiol. 2010; 16 (16): 150-2.
  • Kahriman G, Donmez H, Mavili E, Ozcan N. Bilateral round ligament varicosities mimicking an inguinal hernia in pregnancy: case report. Journal of Clinical Ultrasound. 2010; 38 (9): 512-4.
  • Jung SC, Lee W, Chung JW, Jae HJ, Park E-A, Jin KN, et al. Unusual causes of varicose veins in the lower extremities: CT venographic and Doppler US findings. Radiographics. 2009; 29 (2): 525-36.
  • Bulbul E, Taskin MI, Yanik B, Demirpolat G, Adali E, Basbug M. Rare cause of bilateral groin swelling: Round ligament varicosities. Pakistan journal of medical sciences. 2015; 31 (4): 1012.
  • Tokue H, Aoki J, Tsushima Y, Endo K. Characteristic of computed tomography and magnetic resonance imaging finding of thrombosed varices of the round ligament of the uterus: a case report. Journal of computer assisted tomography. 2008; 32 (4): 559-61.
  • Polat AV, Aydin R, Polat AK, Kececi IS, Karahan G, Taskin GO. Round ligament varicosities: a rare cause of groin swelling in pregnancy. Abdominal imaging. 2013; 38 (5):1178-81.
  • Kapoor S. Complications of round ligament varicosities. Phlebology. 2013; 28 (5):278.

Abstract Views: 18

PDF Views: 0




  • Varices of the Round Ligament with Thrombosis (A Review Article and Report)

Abstract Views: 18  |  PDF Views: 0

Authors

Raziyeh Behzadmehr
Department of Radiology, Zabol University of Medical Sciences, Zabol, Iran, Islamic Republic of
Fateme Parooei
Zabol University of Medical Sciences, Zabol, Iran, Islamic Republic of
Morteza Salarzaei
Zabol University of Medical Sciences, Zabol, Iran, Islamic Republic of

Abstract


Round ligament is a ligament that extends from the lateral uterus to the labia major, including arteries, veins, lymph nodes and nerve. Round ligament varicositis or RLV is a rare medical condition, signifying the presence of prominent veins in the ligament, mostly during pregnancy. RLV, quite similar to an inguinal hernia, often emerges as a soft, reducible, without tenderness mass is quite visible in standing position and difficult to discern in supine position; this similarity in emergence makes RLV easily confused with obstructive inhomogeneous hernia, as a result, causing an unnecessary surgery during pregnancy. The present paper analyzed a one-way RLV case in the right indigenous area with release to the labia major along with the varicose vein thrombosis. Color Doppler ultrasound is a precise diagnostic method to exclude all other possible diagnosis and confirm the detection of RLV. Therefore, the use of doppler sonography can be very important in preventing unnecessary surgery, especially in pregnant women.

Keywords


Varices , Round Ligament , Thrombosis.

References