Lee Do Kyung, Bae Sung Woo, Moon Hwasook, Kim Yoo Kyung
Department of Surgery, Busan St. Mary's Medical Center, Busan, Korea.
J Korean Surg Soc. 2011 Jun;80(6):437-9. doi: 10.4174/jkss.2011.80.6.437. Epub 2011 Jun 9.
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.
孕期圆韧带静脉曲张较为罕见,且容易被误诊为腹股沟疝。体格检查时,圆韧带静脉曲张与腹股沟疝难以区分。通过灰阶超声和彩色多普勒超声可确诊圆韧带静脉曲张。我们遇到一例圆韧带静脉曲张病例,一名29岁女性在妊娠36周时出现症状。该患者通过多普勒超声确诊,采用保守治疗,40周时顺产,无并发症。产后两周症状完全消失。我们报告一例在妊娠36周时诊断出的圆韧带静脉曲张病例,并对相关文献进行综述。