Acute groin pain in pregnancy: a case of round ligament vari
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Varicocities of the round ligament is a relatively uncommon condition. Almost all the cases in literature had been reported in pregnant patients. It presents as a unilateral or bilateral painful or painless inguinal mass. Clinically it is difficult to distinguish from inguinal hernia on physical examination. Hence when the swelling is painful the clinical suspicion of a strangulated inguinal hernia is high. This diagnostic dilemma raises the question of surgical management and the risk it poses to the pregnancy. Sonography and Doppler is a one stop shop answer to the question of management. This article presents a 22-year-old primigravida at 30 weeks of gestation with unilateral round ligament varicocele diagnosed on sonography and Doppler, who was managed conservatively...

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