Haematoma in a hydrocele of the canal of Nuck mimicking a Richter’s hernia

Ryan, James; Joyce, Myles R.; Pierce, C.; Brannigan, A. E.; O’Connell, P. R.

doi:10.1007/s10029-009-0493-2

Cited by 13 publications

(9 citation statements)

References 5 publications

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“…We first considered endometriosis, hydrocele of the canal of Nuck, nerve involvement, and tissue injury due to the ligature as the cause of pain. Although endometriosis and hydrocele of the canal of Nuck have been reported to cause pain, these were negative on pathological examination . There was also no clear finding of endometriosis in the hernia during the initial surgery.…”

Section: Discussionmentioning

confidence: 88%

Case of chronic pain after laparoscopic percutaneous extraperitoneal closure in an adolescent girl with inguinal hernia in which open repair was effective

Ishikawa¹,

Nishikawa²,

Nakamoto³

et al. 2018

Asian J Endoscop Surgery

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Chronic pain after laparoscopic percutaneous extraperitoneal closure is very rare. Here, we report a case of chronic pain after laparoscopic percutaneous extraperitoneal closure in an adolescent patient with inguinal hernia who underwent open repair. A 15-year-old girl was diagnosed with a left indirect inguinal hernia, and laparoscopic percutaneous extraperitoneal closure was performed. However, 6 months later, after strenuous exercise, she developed localized pain around the hernia site. Her pain was well controlled by internal treatment but failed to completely resolve. The pain type was somatic, Tinel's sign was negative, and there was no recurrence of the inguinal hernia. Because she strongly wished to undergo surgery, the Potts procedure with removal of the ligature and excision of the round ligament was performed. Her pain improved after surgery, and further medical treatment was not required. The Potts procedure may be an effective treatment for chronic pain such as in this case.

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Section: Discussionmentioning

confidence: 88%

Case of chronic pain after laparoscopic percutaneous extraperitoneal closure in an adolescent girl with inguinal hernia in which open repair was effective

Ishikawa¹,

Nishikawa²,

Nakamoto³

et al. 2018

Asian J Endoscop Surgery

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“…Surgical management of a cyst of the Canal of Nuck includes open or laparoscopic excision of the cystic structure with concomitant closure of the inguinal internal defect primarily with the use of a mesh (24,31,32). The appropriate surgical approach is tailored based on the extent of the disease, the accuracy of preoperative diagnosis and the co-existence of an inguinal hernia.…”

Section: Discussionmentioning

confidence: 99%

Cyst of the Canal of Nuck in adult females: A case report and systematic review

et al. 2020

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Defects in the Canal of Nuck are rare abnormalities of the female genitalia, which are typically detected and repaired in young age. In the present report, a case of a Nuck cyst in a 40-year old female patient is described. Additionally, the current literature concerning cases of women with hydrocele of Nuck canal was systematically reviewed. A total of 16 case reports of 16 patients with Nuck hydrocele (mean age of 35.18 years), have been reported to date. A right inguinal mass was noted in 13 patients (81.3%) whereas in 3 patients a left-sided mass was noted. The surgical approach was open in 13 cases and laparoscopic in 3 cases. Two cases underwent hydrocelectomy and inguinal ring ligation, whereas in 7 cases a simple cystectomy was performed. In 2 cases the round ligament was excised along with the hydrocele. In one of these 2, ligamentum rotundum necrosis and presence of a haemorrhagic cyst of the canal of Nuck were identified. Hernia repair and hydrocelectomy was performed in 5 cases. A cyst of the Canal of Nuck is relatively rare, but should be considered during the diagnosis of inguinal masses in female patients.

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“…Treatments for a hydrocele of the canal of Nuck include surgical excision of the cyst with closure of the inguinal internal ring defect [ 9 ] and simultaneous inguinal hernia repair if required [ 15 ]. Surgical excision is effective as it is both therapeutic and diagnostic [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Endometriosis-associated hydrocele of the canal of Nuck with immunohistochemical confirmation: a case report

Okoshi¹,

Mizumoto²,

Kinoshita³

2017

J Med Case Reports

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BackgroundThe canal of Nuck is an embryological vestige of the processus vaginalis, and presents a potential site for endometriosis seeding. Hydroceles in this region are a rare cause of inguinal swelling in females. In addition, endometriosis localized to the canal of Nuck is exceedingly rare.Case presentationA 44-year-old Japanese woman presented with a painful mass overlying her right pubis. She underwent surgery to completely excise the mass. During surgery, division of the external oblique aponeurosis revealed a cyst that occupied the inguinal canal and it adhered to the transverse fascia, inguinal ligament, and pubic bone. The cyst was dissected from the round ligament, and the defect in the internal inguinal ring was repaired and reinforced with mesh. On macroscopic examination, the cyst had a heterogeneous fibrous aspect with dark brown inclusions. Microscopic examination revealed that the cyst was tortuous, lined by mesothelial-like cells, and accompanied by partial subcapsular hemorrhage. Endometrium-like tissue was observed in the cystic wall. Immunohistochemical staining for podoplanin confirmed the mesothelial origin of the cyst-lining cells. The epithelial cells and stromal cells were positive for estrogen receptors.ConclusionsIn this case of an endometriosis-associated hydrocele of the canal of Nuck, the mesothelial origin of the cyst-lining cells and endometriosis were confirmed by positive immunohistochemical staining for podoplanin and estrogen receptors, respectively. We determined that hydrocele resection and reinforcement of the anterior inguinal canal wall (if necessary) are appropriate treatments for this condition.

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Haematoma in a hydrocele of the canal of Nuck mimicking a Richter’s hernia

Cited by 13 publications

References 5 publications

Case of chronic pain after laparoscopic percutaneous extraperitoneal closure in an adolescent girl with inguinal hernia in which open repair was effective

Case of chronic pain after laparoscopic percutaneous extraperitoneal closure in an adolescent girl with inguinal hernia in which open repair was effective

Cyst of the Canal of Nuck in adult females: A case report and systematic review

Endometriosis-associated hydrocele of the canal of Nuck with immunohistochemical confirmation: a case report

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