Document Detail

Varices of the round ligament mimicking an inguinal hernia--an important differential diagnosis during pregnancy.
MedLine Citation:
PMID:  20810016     Owner:  NLM     Status:  MEDLINE    
Pregnancy is a recognised risk factor for the development of inguinal hernias due to an increase in intra-abdominal pressure. Whilst often managed conservatively until after the pregnancy, if the hernia presents acutely as a painful or tender groin lump, urgent or emergency repair may be required. Many clinicians rely heavily on clinical examination alone in order to diagnose the presence of such a hernia. In pregnancy, however, in order to prevent unnecessary surgery, the use of ultrasound has a more important role to play in reaching this diagnosis. We report a cautionary case that highlights the need for ultrasound evaluation of all painful groin lumps in pregnant women prior to considering surgery.
B M Dent; A Al Samaraee; P E Coyne; C Nice; M Katory
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-08-26
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  92     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-01     Completed Date:  2010-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  W10-1     Citation Subset:  IM    
Department of Colorectal Surgery, Queen Elizabeth Hospital, Gateshead, UK.
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MeSH Terms
Diagnosis, Differential
Hernia, Inguinal / diagnosis*
Pregnancy Complications, Cardiovascular / ultrasonography*
Round Ligament / blood supply*,  ultrasonography
Varicose Veins / ultrasonography*

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