Groin mass in pregnancy

Murphy, Ian; Heffernan, Eric J.; Gibney, R G

doi:10.1259/bjr/63118673

Cited by 13 publications

(4 citation statements)

References 2 publications

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“…RLV could be confused with other inguinal masses such as lymphadenopathy, abscess, hematoma, endometriosis, subcutaneous lipoma, vascular aneurysm, cysts, cystic lymphangiomas, thrombophlebitis, and hydroceles of the canal of Nuck. 3,8,9 Color Doppler US examination can differentiate RLV from other causes of groin swelling in pregnancy and avoid unnecessary surgery. The diagnosis of RLV based on gray-scale and color Doppler US includes multiple dilated veins passing through the inguinal canal; veins draining into the inferior epigastric vein; absence of bowel or lymph nodes in the inguinal mass.…”

Section: Discussionmentioning

confidence: 99%

Bilateral round ligament varicosities mimicking an inguinal hernia in pregnancy: Case report

Kahriman

Dönmez

Mavili

et al. 2010

J of Clinical Ultrasound

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A 22-year-old pregnant woman presented with a painful swelling in the right groin. Sonography was performed to confirm a presumptive diagnosis of inguinal hernia based on physical examination. Gray-scale sonography examination revealed bilateral inguinal cystic lesion expanding with the Valsalva maneuver. Color Doppler imaging demonstrated multiple prominent vessels with retrograde venous flow during Valsalva maneuver. Bilateral round ligament varicosities were diagnosed and inguinal hernia was excluded by sonographic findings. Round ligament varicosities should be considered in the differential diagnosis of groin swelling during pregnancy.

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Section: Discussionmentioning

confidence: 99%

Bilateral round ligament varicosities mimicking an inguinal hernia in pregnancy: Case report

Kahriman

Dönmez

Mavili

et al. 2010

J of Clinical Ultrasound

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“…Generally, when the term "female varicocele" is used, it refers to pelvic congestion syndrome. Nonetheless, a varicocele can occur in the canal of Nuck, which is located near the round ligament [ 44 ]. These varicoceles have enlarged veins that expand or become engorged during the Valsalva maneuver.…”

Section: Reviewmentioning

confidence: 99%

“…A physical examination may misdiagnose a varicocele as an inguinal hernia. However, surgery can be avoided if diagnosed correctly since the symptoms tend to disappear spontaneously after delivery, and no further treatment is required [ 44 ]. Yeo and Tashi documented round ligament varices associated with pregnancy in a 35-year-old woman [ 31 ].…”

Section: Reviewmentioning

confidence: 99%

Contemporary Review of Masses in the Canal of Nuck

Tilva¹,

Tayade²,

Kanjiya³

2023

Cureus

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Canal of Nuck masses is a rare occurrence that can cause swelling in the abdominal-inguinal region of females for various reasons. This condition arises due to an abnormal persistence of the processus vaginalis opening. Although Canal of Nuck pathology is not widely known among general surgeons or gynecologists due to its rarity, it has been associated with significant morbidity and requires further research. In this comprehensive review, we aim to summarize the embryology and anatomy of the Canal of Nuck, followed by a description of the various types of masses that can occur in this region. We discuss the clinical presentation and diagnostic workup of Canal of Nuck masses, including imaging modalities and differential diagnoses. Next, we review the surgical management of these masses, including open and laparoscopic approaches. Finally, we discuss the potential complications and long-term outcomes associated with Canal of Nuck pathology. This review aims to compile the presently accessible literature on anomalies occurring in the Canal of Nuck in females, with a particular focus on describing their pathological nature, diagnosis, and management. In summary, this review provides an up-to-date understanding of the pathology, diagnosis, and management of Canal of Nuck masses and aims to raise awareness of this under-recognized surgical challenge among healthcare providers.

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“…Round ligament varicosity in pregnancy, caused by a distension of veins alongside the round ligament, has been described by various authors with a first report in 1962 [1]. It is an important differential diagnosis to groin hernias and yields a high rate of misdiagnosis [2][3][4]. It goes along with a temporary dilation of the deep inguinal ring [5].…”

Section: Introductionmentioning

confidence: 99%

Is round ligament varicosity in pregnancy a common precursor for the later development of inguinal hernias? The prospective analysis of 28 patients over 9 years

Lechner

Bittner

Borhanian

et al. 2019

Hernia

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Purpose Short-term effects of round ligament varicosity (RLV) in pregnancy have been investigated in small-scale studies. The long-term effects are unknown. This study aims to evaluate the risk of groin hernia manifestation after RLV in pregnancy, to delineate possible risk factors and to analyze the natural course of pregnancy and post-partum period with regard to RLV. Methods In a prospective analysis 28 pregnant women with RLV presented to the hernia clinic over 9 years. After clinical and ultrasound examination during pregnancy and publication of early results in 2013 a second structured follow-up was conducted. Demographic data, hernia-specific risk factors, comorbidities, pregnancy and birth-related data as well as postpartum period were documented without loss of follow-up. In these women, all pregnancies that occurred, including the ones without RLV, were analyzed. Results Median follow-up was 68 months (11.4-104.9). Only one groin hernia was found. No risk factors could be identified. After uncomplicated childbirth complaints subsided spontaneously in all but one patient within 4 weeks. Recurrence rates in subsequent pregnancies are up to 89%. Conclusion Temporary RLV-induced dilation of the deep inguinal ring in pregnancy is not a common precursor for the development of inguinal hernias later in life. All findings support the theory that the hindrance of venous blood flow caused by the gravid uterus is an important contributing factor for RLV in pregnancy, which is self-limited but has a high risk of recurrence and is not an indication for surgery before or after delivery or for cesarean section.

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Groin mass in pregnancy

Cited by 13 publications

References 2 publications

Bilateral round ligament varicosities mimicking an inguinal hernia in pregnancy: Case report

Bilateral round ligament varicosities mimicking an inguinal hernia in pregnancy: Case report

Contemporary Review of Masses in the Canal of Nuck

Is round ligament varicosity in pregnancy a common precursor for the later development of inguinal hernias? The prospective analysis of 28 patients over 9 years

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