{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:31:18Z","timestamp":1777447878905,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T00:00:00Z","timestamp":1625616000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>Hernia is an exceedingly common pathology, to which inguinal hernias are frequently diagnosed. Though this entity is regularly seen, in pregnancy a different diagnosis must be excluded: round ligament varicocele (RLV). Round ligament varicocele has a similar presentation to inguinal hernia, and therefore is often misdiagnosed. Though misdiagnosis potentially occurs from a lack of knowledge of the disease, RLV has shown that it\u2019s at least as common as inguinal hernia in pregnancy. The issue with misdiagnosis occurs as there is significant difference in management; hernia may require operative intervention, while RLV follows a conservative course. Therefore, an accurate diagnosis is essential, and an incorrect diagnosis can be associated with an unnecessary operation and consequence. We present the case of a patient in her second trimester who was referred for surgery due to suspicion of an inguinal hernia, and review the literature for evaluation recommendations, appropriate diagnostic strategies, and management tactics for RLV.<\/jats:p>","DOI":"10.1177\/00031348211031850","type":"journal-article","created":{"date-parts":[[2021,7,7]],"date-time":"2021-07-07T18:20:36Z","timestamp":1625682036000},"page":"2097-2100","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Round Ligament Varicocele Masquerading as an Inguinal Hernia During Pregnancy"],"prefix":"10.1177","volume":"89","author":[{"given":"Nilesh R.","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Surgery, Duke LifePoint Conemaugh Memorial Medical Center, Johnstown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karleigh R.","family":"Curfman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Duke LifePoint Conemaugh Memorial Medical Center, Johnstown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shawna L.","family":"Morrissey","sequence":"additional","affiliation":[{"name":"Department of Surgery, Duke LifePoint Conemaugh Memorial Medical Center, Johnstown, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,7,7]]},"reference":[{"key":"bibr1-00031348211031850","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.4918.889"},{"key":"bibr2-00031348211031850","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2017.05.006"},{"issue":"30","key":"bibr3-00031348211031850","first-page":"20150517","volume":"3","author":"Cicilet S","year":"2017","journal-title":"BJR Case Rep"},{"key":"bibr4-00031348211031850","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-019-01928-6"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211031850","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348211031850","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348211031850","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:06Z","timestamp":1777379766000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348211031850"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,7]]},"references-count":4,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1177\/00031348211031850"],"URL":"https:\/\/doi.org\/10.1177\/00031348211031850","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,7]]}}}