Inguinal pain during pregnancy due to round ligament varicos
The exact incidence of round ligament varicosities (RLV) is uncertain, due to the fact that there are few cases reported in the literature, and in many cases, they can be confused with inguinal hernias.

Published in the International Journal of Reproduction, Contraception, Obstetrics and Gynecology, the authors present a case of a 26-year-old female with 26.3 weeks of gestation by date of last menstruation, who went to the emergency service with the presence of an increase in volume in the left inguinal region, accompanied by pain, which increased standing and decreasing with the dorsal decubitus, the physical examination confirmed an increase in volume at the left inguinal level.

An ultrasound of the inguinal region was requested to rule out an inguinal hernia as the first diagnosis, Doppler ultrasound revealed RLV. The patient was treated conservatively and at two weeks after the resolution of the pregnancy, the RLV presented a spontaneous regression and her symptoms completely resolved.

Key takeaway:-
- It is important to differentiate inguinal pain during pregnancy, keep in mind the variety of possible differential diagnoses, exhaust and make use of the extension studies that are available because a physical examination may not be enough.

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