妊娠腹股沟肿块:加纳圆韧带静脉曲张1例

IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Gilbertson Allorsey
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引用次数: 1

摘要

圆韧带静脉曲张(RLV)是临床医生的诊断难题,经常被误认为是腹股沟疝。全球很少报告此类病例。据我所知,加纳尚未报告RLV病例,因此,本病例研究可能是加纳报告的第一例病例。一名27岁的孕妇向医院报告,她抱怨双侧腹股沟肿胀并伴有间歇性剧烈疼痛。当女性处于站立姿势时,肿胀可见,但当女性仰卧时,肿胀消失。然而,在瓦尔萨尔瓦手法的仰卧位,肿胀突出。这名妇女被诊断为双侧腹股沟疝,并计划在产后进行可能的手术。圆韧带血管系统的扩张表现为腹股沟管内隆起的肿块,在身体检查时模仿腹股沟疝。因此,RLV和腹股沟疝之间的区别是通过超声扫描检查确定的。诊断RLV需要使用彩色/功率多普勒超声机,还需要训练有素的具有超声专业知识的临床人员。超声扫描已被认为可以有效诊断RLV,并与腹股沟疝有明确的区别。RLV的准确诊断对于避免不必要的手术干预也是至关重要的,因为这种情况在分娩后大多会自行解决。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Inguinal masses in pregnancy: A case of round ligament varicosty in Ghana
Round ligament varicosities (RLVs) are noted to present diagnostic difficulties for clinicians and are often mistaken to be inguinal hernias. Very few of such cases have been reported globally. To the best of my knowledge, no case on RLV has been reported in Ghana and as such, this case study is likely to be the first reported case in Ghana. A 27-year-old pregnant woman reported to the hospital with complains of bilateral inguinal swelling accompanied with intermittent excruciating pain. The swellings are visible with the woman in the standing position but disappear with the woman lying supine. The swellings are however prominent in the supine position on Valsalva maneuver. The woman was diagnosed with bilateral inguinal hernia and was scheduled for possible surgery after delivery. Dilatation of the vasculature of the round ligament presents as a bulging mass within the inguinal canal, mimicking inguinal hernias when examined physically. The distinction between the two, thus, the RLV and inguinal hernia is established with ultrasound scan examination. Diagnosing RLVs require the use of a color/power Doppler ultrasound machine and also well-trained clinical personnel with sonographic expertise. Ultrasound scan has been recognized to diagnose RLV effectively and to produce a clear-cut distinction from inguinal hernia. Accurate diagnosis of RLV is also essential to avoid unnecessary surgical interventions since the condition is noted to mostly resolve by itself after delivery.
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来源期刊
West African Journal of Radiology
West African Journal of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
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