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

Abstract

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.

The Rarest Variant Type Of Groin Cystic Mass In Adult Female: Encysted Hydrocele Canal Of Nuck

“…Laparoscopic surgery had been recorded in a few cases in a selected group of patients of childbearing age, without current pathology, an experienced surgeon's hands. Alternative treatment options, including ultrasound-guided aspiration of cysts, have not been documented in a single case in medical literature and carry a higher risk of recurrence once it is done [19] , [20] . In this case, intra-operatively, a rare variant type of hydrocele was discovered.…”

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

“…Therefore, ensuring the complete resection of HCN is particularly important. If laparoscopic resection is difficult, the courage to convert to the traditional anterior approach is required [18,21] (Fig. 5).…”

“…Even though laparoscopy has so many advantages, it is difficult for the laparoscope to successfully free the distal end of the HCN if the inguinal canal is deep or the HCN is too huge [21]. At this point, once laparoscopy finds that the patient has pure HCN, it is recommended to immediately perform anterior resection to shorten the operation time.…”

Hydrocele of the Canal of Nuck: A Review

“…The laparoscopic technique in combination with the anterior approach is the most exact diagnostic procedure and the shortest operation for the treatment of a pure cyst of the canal of Nuck. It may be the most effective treatment option for young women of reproductive age who do not have a hernia [ 32 ]. Furthermore, cyst aspiration may help ease symptoms but is not suggested as a definite treatment [ 33 ].…”