From the Research
Definition and Prevalence
- Round ligament syndrome, also known as round ligament varices (RLV), is a condition that occurs during pregnancy, characterized by the dilation of the round ligament veins, leading to a groin mass or swelling 1, 2, 3, 4, 5.
- The condition is considered rare, with most cases reported in pregnant women, and its clinical findings are often non-specific and indistinguishable from other causes of groin swelling 2, 4.
Clinical Presentation
- RLV typically presents as a unilateral or bilateral inguinal mass, which may be painful or painless 2, 4, 5.
- The symptoms can be similar to those of an inguinal hernia, making clinical evaluation inadequate for an exact diagnosis 2, 3, 5.
- The condition can cause hernia-like symptoms in the absence of a true hernia 1.
Diagnosis and Management
- Ultrasonography, including color Doppler, is essential for the diagnosis of RLV, as it can demonstrate the venous flow pattern and vascularity of the round ligament varices 1, 2, 4, 5.
- The diagnosis of RLV should be considered in pregnant women presenting with a groin mass, and sonography can save unnecessary surgical exploration and associated morbidity 1, 2.
- Conservative management is often recommended, as the symptoms typically resolve spontaneously postpartum 1, 2, 4.