Two cases of round ligament varicosities diagnosed by color Doppler ultrasonography

Maeoka, Etsuko; Yamagishi, Hiroe; Setta, Masaki; Sato, Yukie; Okada, Yohei; Kojima, Yuki; Yamada, Yuichiro; Shimizu, Yuki; Ariyoshi, Aya; Yuasa, Norihiro

doi:10.3179/jjmu.39.471

Cited by 1 publication

(1 citation statement)

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“…In particular, 10 of the 16 patients with round ligament varicosities had been misdiagnosed with an inguinal hernia by physicians because the groin bulge was enlarged due to increased abdominal pressure or on standing [6,8,30]. Round ligament varicosities are frequently found in pregnant women and they usually regress spontaneously after delivery; therefore, unnecessary surgery during pregnancy should be avoided [31].…”

Section: Discussionmentioning

confidence: 99%

Significance of ultrasonography in the assessment of patients with a groin mass: a large, single-center case series

Kojima

Maeoka²,

Nisaka³

et al. 2022

Med Ultrason

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Aim: There is a concern that the differential diagnosis of a groin mass depends on a physicians’ subjective judgment and experience. We aimed to clarify the significance of US in the diagnosis of a groin mass.Material and methods: This retrospective study included 1,898 patients who underwent US examination of a groin mass. Physicians’ diagnoses were compared with US-based diagnoses. Furthermore, the incidence of asymptomatic contralateral hernia was analyzed. The frequency of unnecessary surgery in patients with and without preoperative US was compared. In 1,451 patients who underwent surgery with preoperative US, the preoperative US classification was compared with surgical diagnosis.Results: Of 1,805 patients diagnosed with an inguinal hernia by physicians, 190 (10.5%) exhibited no US findings of inguinal hernia. US revealed asymptomatic contralateral hernia in 13.3% of the 1,543 patients in whom a physician detected unilateral inguinal hernia. The frequency of unnecessary surgery was significantly associated with preoperative US (1/1451; 0% vs. 2/351, 0.6%; p=0.0382). The overall US diagnostic accuracy for the inguinal hernia type was 92.7%.Conclusions: US imaging of a groin mass can help avoid unnecessary surgery, detect latent inguinal hernia, and guide surgical planning.

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