Ng Carol, Wong Gloria Ting
Department of Radiology, Princess Margaret Hospital, Lai Chi Kok, Hong Kong.
J Clin Imaging Sci. 2019 Jun 14;9:28. doi: 10.25259/JCIS-19-2019. eCollection 2019.
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.
圆韧带静脉曲张几乎仅发生于孕妇和产后女性,临床上其表现与腹股沟疝相似,因此给临床医生带来诊断挑战。区分这两种情况很重要,因为圆韧带静脉曲张不需要手术,而腹股沟疝需要。罕见情况下,圆韧带静脉曲张可能并发血栓形成或出血。在本病例报告中,我们呈现了一例罕见的并发血栓形成的圆韧带静脉曲张病例。文中展示了血栓形成的圆韧带静脉曲张在超声和对比计算机断层扫描上的影像学特征。