Spontaneous round ligament hematoma as an unusual cause of pelvic pain in a young female patient: MRI demonstration

Pitrone Pietro, MD; Marino Maria Adele, MD; Di Fabrizio Donatella, MD; Cattafi Antonino, MD; Antonuccio Pietro, MD; Sturlese Emanuele, MD; Blandino Alfredo, MD; Ascenti Giorgio, MD; Sofia Carmelo, MD

Radiology Case Reports (May 2022)

Spontaneous round ligament hematoma as an unusual cause of pelvic pain in a young female patient: MRI demonstration

Pitrone Pietro, MD,
Marino Maria Adele, MD,
Di Fabrizio Donatella, MD,
Cattafi Antonino, MD,
Antonuccio Pietro, MD,
Sturlese Emanuele, MD,
Blandino Alfredo, MD,
Ascenti Giorgio, MD,
Sofia Carmelo, MD

Affiliations

Pitrone Pietro, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ''G. Martino'' Via Consolare Valeria 1, Messina 98100, Italy; Corresponding author.
Marino Maria Adele, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ''G. Martino'' Via Consolare Valeria 1, Messina 98100, Italy
Di Fabrizio Donatella, MD: Department of Human Pathology of Adult and Childhood ''Gaetano Barresi'', Unit of Pediatric Surgery, University of Messina, Policlinico ''G. Martino'' Via Consolare Valeria 1, Messina 98100, Italy
Cattafi Antonino, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ''G. Martino'' Via Consolare Valeria 1, Messina 98100, Italy
Antonuccio Pietro, MD: Department of Human Pathology of Adult and Childhood ''Gaetano Barresi'', Unit of Pediatric Surgery, University of Messina, Policlinico ''G. Martino'' Via Consolare Valeria 1, Messina 98100, Italy
Sturlese Emanuele, MD: Department of Obstetrics and Gynecology, University of Messina, Policlinico ''G. Martino'' Via Consolare Valeria 1, Messina 98100, Italy
Blandino Alfredo, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ''G. Martino'' Via Consolare Valeria 1, Messina 98100, Italy
Ascenti Giorgio, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ''G. Martino'' Via Consolare Valeria 1, Messina 98100, Italy
Sofia Carmelo, MD: Section of Radiological Sciences, Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico ''G. Martino'' Via Consolare Valeria 1, Messina 98100, Italy

Journal volume & issue: Vol. 17, no. 5
pp. 1765 – 1769

Abstract

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The cause of pelvic pain remains a significant diagnostic challenge, even for experienced radiologists. An accurate differential diagnosis has to be done according to the patient's age and gender. Spontaneous round ligament hematoma is an uncommon cause of acute pelvic pain in adult female patients. To the best of our knowledge, it has never been reported in the literature in the paediatric population. Ultrasound examination is the first line imaging modality for pelvic pain evaluation in young women but it might result inconclusive. Thanks to its panoramic view and multiparametric approach, the MRI can play a pivotal role in the diagnosis of spontaneous round ligament hematoma in paediatric female patients, resulting in a more effective patient's therapeutic management.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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