The misdiagnosis of round ligament
fibroids usually occurs through ultrasound due to its pedunculated nature and its location by the ovary.
Leiomyomas of the round ligament
can be a possible but rare etiology of the inguinal mass and can be mistaken for an inguinal hernia or lymphadenopathy.
varices in pregnancy mimicking inguinal hernia: An ultrasound diagnosis.
The case presented here illustrate unusual cause of right inguinal swelling which attached directly to extra peritoneal part of the round ligament
and this explain the importance of taking a detailed history and making physical examination.
The round ligament
was ligated with 2-0 vicryl suture and excised.
When managing the round-ligament complex on each side, stay between the round ligaments
(your "goal posts") to avoid getting too lateral.
Superior to this attachment, it is called ovarian ligament which prevents ovarian descent into the inguinal canal and inferior to the attachment, it is the round ligament
Direct extension along the ligaments of embryonic origin have been described including the round ligament
of the liver, the urachus, the vittelointestinal duct remnant, and the obliterated vitelline artery.
Once the pararectal space is developed and the ureter dissected, I proceed with transection of the round ligament
. Dissecting the round ligament
any earlier would be particularly troublesome in a Single-Site robotic hysterectomy because it would be challenging to achieve the necessary degree of uterine manipulation.
It contains the spermatic cord in males and the round ligament
Laparoscopic findings included a markedly edematous left tube, left broad ligament, and left proximal round ligament
, marked dilation of the vessels in the left broad ligament and infundibulopelvic ligament and a 2 cm x 2 cm x 3 cm mass protruding from the left posterior wall of the uterus (See Figure 2).
Begin by placing an instrument on the round ligament
, tube, and uterine-ovarian pedicle, exerting light traction.