Hydrocoele in the canal of Nuck in an adult female: a rare cause for inguinal swelling

Cheng, Ernest; Sarkar, Amit; Perera, D. S.

doi:10.1111/ans.16279

Cited by 3 publications

(3 citation statements)

References 9 publications

(14 reference statements)

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“…The manifestations of HCN were described as lumps in the groin area, with varying degrees of pain, size, and reducibility. Therefore, it was usually misdiagnosed as an inguinal hernia [10,11]. Although US can be used as a convenient method of examination [12], CT scan or magnetic resonance imaging provide much more accurate images [13], including the anatomical relationship between cystic lesions and adjacent structures, to confirm whether it communicates with the peritoneal cavity.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review

et al. 2021

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Background Hydrocele of canal of Nuck (HCN) is a rare disease in adult female. The diagnosis and treatment of HCN is still a challenge for surgeons. Case presentation A 56-year-old female presented with recent onset of occasional pain during exercise and an asymptomatic left groin swelling. Ultrasonography results were suspicious for left inguinal hernia incarceration and computed tomography (CT) scan showed no intestinal obstruction, which was considered as HCN. Laparoscopic hydrocelectomy of the HCN and a routine laparoscopic hernia repair via the transabdominal preperitoneal (TAPP) approach were performed. Postoperative pathology showed no malignant lesions or endometriosis. Conclusions The preoperative diagnosis of HCN is extremely important. Surgeons should choose appropriate surgical methods for different anatomical HCNs based on the preoperative diagnosis.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review

et al. 2021

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“…Compared with the traditional anterior approach, the pneumoperitoneum in laparoscopic surgery will increase intra-abdominal pressure. Laparoscopy may be the best tool for diagnosing potential weak areas of the inner ring of the groin and can rule out the incarceration of internal organs in the abdominal cavity [ 13 – 15 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic assisted hydrocelectomy of the canal of Nuck: a case report

et al. 2021

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Background Accurate diagnosis and complete resection of hydrocele of canal of Nuck (HCN) is still a challenge for surgeons. Case presentation A 28-year-old woman presented with a suspected inguinal hernia due to swelling in her right groin and was introduced for surgical treatment. Computed tomography scan revealed local cyst formation in the right groin and eliminated intestinal incarceration. In order to further confirm the diagnosis, we used laparoscopic exploration; after excluding a combined hernia, HCN was surgically removed using a conventional anterior peritoneal approach and a mesh patch repair was not needed. Postoperative pathology results showed no endometriosis or malignancy. Conclusions Laparoscopic assisted anterior approach provides both an accurate intraoperative diagnosis and a quick complete resection of HCN; it is the preferred treatment for women of childbearing age with pure HCN.

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“…If laparoscopy confirms that the patient has a pure cyst of the canal of Nuck at this time, the anterior resection may be done without hesitation, perhaps shortening the operative time [ 29 ]. Thus, laparoscopy may be the most effective tool for identifying the probable point of weakness and internal organ confinement in the peritoneal cavity due to increasing intra-abdominal pressure of the pneumoperitoneum [ 19 , 30 , 31 ].…”

Section: Reviewmentioning

confidence: 99%

Hydrocele of the Canal of Nuck: A Review

Keeratibharat¹,

Chansangrat²

2022

Cureus

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Canal of Nuck abnormality is a rare surgical condition. The pathologies are mostly encountered in young girls, less than five years of age. The incidence is even less in adults. Various pathologic conditions related to the failure of processus vaginalis obliteration can occur, involving herniation of intraabdominal structures including intestinal and genital contents such as the uterus, fallopian tube, and ovary and hydrocele of the canal of Nuck. According to its rarity, hydrocele of canal of Nuck is often misdiagnosed for common groin masses. This review summarizes and simplifies embryology, the pathophysiology of the canal of Nuck abnormalities, imaging findings, and treatment options with emphasis on the hydrocele.

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Hydrocoele in the canal of Nuck in an adult female: a rare cause for inguinal swelling

Cited by 3 publications

References 9 publications

Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review

Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review

Laparoscopic assisted hydrocelectomy of the canal of Nuck: a case report

Hydrocele of the Canal of Nuck: A Review

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