Cyst of canal of Nuck in a young woman affected by kniest syndrome: ultrasound and MRI features

Manenti, Guglielmo; D'Amato, Dejanira; Ranalli, Tiziana; Marsico, Salvatore; Castellani, Francesca; Salimei, Fabio; Floris, Roberto

doi:10.1016/j.radcr.2018.10.027

Cited by 2 publications

(4 citation statements)

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“…Most of the cases were reported in neonates and infants [4]. The cyst of Nuck is a rare condition in adult patients: Block reported 5 cases in 1975, only 400 cases of hydrocoele of the Nuck canal are described nowadays in literature [4,9] Pathologically, the cyst of the canal of Nuck is a thin, walled, clear fluidcontaining cyst, lined by a single layer of mesothelial cells [5]. In literature, the majority of reported cases of hydrocoele of the canal of Nuck was diagnosed in the surgical specimen obtained after surgery performed for a suspected inguinal hernia [1].…”

Section: Discussionmentioning

confidence: 99%

“…In literature, the majority of reported cases of hydrocoele of the canal of Nuck was diagnosed in the surgical specimen obtained after surgery performed for a suspected inguinal hernia [1]. Palpable masses of the inguinal region may give rise-up to a several differential diagnoses, where the most frequent is an inguinal hernia [9]. However, other causes should be considered such as: nodal enlargements, soft tissue neoplasm, cyst of ganglia, perineal abscesses, Bartholin's cyst and endometriosis of the round ligament [5,9].…”

Section: Discussionmentioning

confidence: 99%

“…Palpable masses of the inguinal region may give rise-up to a several differential diagnoses, where the most frequent is an inguinal hernia [9]. However, other causes should be considered such as: nodal enlargements, soft tissue neoplasm, cyst of ganglia, perineal abscesses, Bartholin's cyst and endometriosis of the round ligament [5,9].…”

Section: Discussionmentioning

confidence: 99%

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Cyst of Canal of Nuck in a 62-Year-Old Woman: Case Report of a Rare Disease

Pozzetto¹,

Bussani²,

Bressan³

et al. 2020

IJSCR

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Introduction: Cyst of Nuck in women is a rare development disorder corresponding to hydrocoele of the spermatic cord in males; it can be associated with inguinal hernia in 30-40% of cases. Only 400 cases have been described in literature and in there are no older than 50. Case Presentation: A 62-year-old presented a right aching inguinal swelling. On physical examination the mass was not reducible, without signs of incarceration or strangulation. On ultrasound the lesion was mostly hypoechoic. CT saw an over liquid lesion, confirmed on MRI as a lesion hypointense in T1 and hyperintense in T2. The patient underwent open surgery: the cyst was separated from the round ligament and excised in mass and the defect was repaired with a prolene mesh. The histopathological exam confirmed the hydrocoele (calretinin positive, mesothelial cells on the inner surface). Discussion: The canal of Nuck is a small evagination of the parietal peritoneum that accompanies the round ligament into the inguinal canal during the first year of female development and is normally obliterated in the first year of life. Failure of obliteration of Nuck canal results in a hydrocoele that could develop intraabdominal or extra – abdominal or both. Ultrasound shows a thin walled, well defined, echo free cystic structure but the perfect diagnosis is given by MRI. Therapy is surgical and it can be open or, more recently, laparoscopic, depending on the expertise of the surgeon. Conclusion: A cyst of Nuck is a rare condition but it should always be considered in differential diagnosis of cystic inguinal lumps in women. Most of the reported cases concern children and young men. To our knowledge this is the only case regarding a more than 50-year-old.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cyst of Canal of Nuck in a 62-Year-Old Woman: Case Report of a Rare Disease

Pozzetto¹,

Bussani²,

Bressan³

et al. 2020

IJSCR

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“…On MRI, the cyst of the canal of Nuck represents as a thin-walled mass, which appears hypointense on T1-weighted sequences and hyperintense on T2-weighted ones [ 1 , 16 , 21 , 22 ]. After contrast administration, no enhancing of the cystic mass, which is considered a sign of benignity, can be observed within MRI [ 17 , 31 , 32 ]. Due to its radiation, CT is only the second-line method, when accessing inguinal or genital swellings, in particular when imaging children.…”

Section: Review Of Literaturementioning

confidence: 99%

The Cyst of the Canal of Nuck: Anatomy, Diagnostic and Treatment of a Very Rare Diagnosis—A Case Report of an Adult Woman and Narrative Review of the Literature

Kohlhauser¹,

Pirsch²,

Maier

et al. 2022

Medicina

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The cyst of the canal of Nuck is an extremely rare female hydrocele, usually occurring in children, but also in adult women. It is caused by pathology of the canal of Nuck, which is the female equivalent to the male processus vaginalis. Due to its rarity and the lack of awareness among physicians, the cyst of the canal of Nuck is a seldom-encountered entity in clinical practice and is commonly misdiagnosed. We report on a case of cyst of the canal of Nuck in a 42-year-old woman, who presented with a painful swelling at her right groin. In addition, we conducted a review of the current available literature. This review gives an overview of the anatomy, pathology, diagnostics, and treatment of the cyst of the canal of Nuck. The aim of this review is not only to give a survey, but also to raise awareness of the cyst of the canal of Nuck and serve as a reference for medical professionals.

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Cyst of canal of Nuck in a young woman affected by kniest syndrome: ultrasound and MRI features

Cited by 2 publications

References 10 publications

Cyst of Canal of Nuck in a 62-Year-Old Woman: Case Report of a Rare Disease

Cyst of Canal of Nuck in a 62-Year-Old Woman: Case Report of a Rare Disease

The Cyst of the Canal of Nuck: Anatomy, Diagnostic and Treatment of a Very Rare Diagnosis—A Case Report of an Adult Woman and Narrative Review of the Literature

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