Laparoscopic diagnosis and treatment of a hydrocele of the canal of Nuck extending in the retroperitoneal space: A case report

Matsumoto, Toshifumi; Hara, Takao; Hirashita, Teijiro; Kubo, Nobuhide; Hiroshige, Shoji; Orita, Hiroyuki

doi:10.1016/j.ijscr.2014.08.016

Cited by 34 publications

(39 citation statements)

References 11 publications

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“…Matsumoto et al wrote that patients who underwent TEP reported shorter recovery time and were at less risk of bowel adhesion formation [5]. They also argued that the TEP approach could provide surgeons with information on the origin and type of hydrocele in the canal of Nuck.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment for hydrocele of the canal of Nuck

S.C.¹,

J.²

2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comLaparoscopic treatment for hydrocele of the canal of Nuck Koh F.J., Tay S.C., Ngu J. ABSTRACTIntroduction: A hydrocele of the canal of Nuck is an exceedingly rare condition. Reports describing its treatment have almost exclusively involved open surgery. Advancements in minimally-invasive techniques have allowed us to employ laparoscopic hernia repair methods as a novel way of treating this condition. Case Report: We present a 50-year-old obese female who was diagnosed with a 4.2x3.2 cm encysted hydrocele of the canal of Nuck on computed tomography. This arose from the peritoneal cavity in association with the left uterine round ligament and extended towards the left labia majora. The hydrocele was approached using a standard transabdominal preperitoneal technique. After dissecting the hydrocele from the canal, it was further parietalized along with its associated round ligament, which was then ligated and divided. A prolene mesh was used to cover the resultant defect in the internal inguinal ring. The peritoneal flap was repositioned and the peritoneal defect traversed by the round ligament was closed intracorporeally with an absorbable suture. Patient made an uneventful recovery and was discharged the next day. Conclusion: Transabdominal preperitoneal approach allows for adequate assessment and complete excision of the canal of Nuck cyst, while combining the benefits of minimally-invasive tension-free mesh repair.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment for hydrocele of the canal of Nuck

S.C.¹,

J.²

2017

IJCRI

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“…Hydrocele of canal of Nuck may be misdiagnosed as inguinal hernia because of its rarity, lack of clinician's knowledge regarding this entity and paucity of the relevant literature in the surgical textbooks. Furthermore at least one third of the cases are associated with inguinal hernia and most of the cases reported in the literature were diagnosed at surgery performed for suspicious inguinal hernia [7,8].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical dissection must be done up to the deep inguinal ring along with high ligation of the neck of the peritoneal pouch. Laparoscopy was also used for diagnosis as well as treatment of this entity [7].…”

Section: Discussionmentioning

confidence: 99%

The hydrocele of canal of Nuck: Case report and review of the literature

Bou-Assaly¹

2017

J Radiol Imaging.

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“…According to 7 of the included studies, no recurrence of the lesion was reported in the follow up period, which ranged from 2-24 months after surgery (3,8,9,16,18,20,22). Data concerning hospital stay was reported in 4 studies with a range of 20-72 h (7,10,18,20).…”

Section: Review Of the Literaturementioning

confidence: 99%

“…Several reports of cysts of the Canal of Nuck are presented in literature and describe the symptomatology and surgical approaches used in their treatment (7)(8)(9)(10). Although a rare pathology of the inguinal canal in female patients, it should be considered when diagnosing inguinal tumours in female patients.…”

Section: Introductionmentioning

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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Laparoscopic diagnosis and treatment of a hydrocele of the canal of Nuck extending in the retroperitoneal space: A case report

Abstract: HighlightsHydrocele of the canal of Nuck in the adult female is a rare condition.Laparoscopic diagnosis is useful for groin mass connected with the retroperitoneal space.TEP offers a useful alternative in selected patients with hydrocele of the canal of Nuck.

Cited by 34 publications

References 11 publications

Laparoscopic treatment for hydrocele of the canal of Nuck

Laparoscopic treatment for hydrocele of the canal of Nuck

The hydrocele of canal of Nuck: Case report and review of the literature

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

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