Rare encounter: hydrocoele of canal of Nuck in a Scottish rural hospital during the COVID-19 pandemic

Abstract

We report the case of a 32-year-old woman who presented with reducible indirect inguinal hernia and a challenging constellation of symptoms, signs and radiographic findings. Surgical approach superseded conservative management when the patient’s abdomen became acute, with a rising lactate and haemodynamic instability. Specifically, the presence of a fluid collection was concerning for sinister acute pathology. Our patient was rediagnosed intraoperatively with hydrocoele of canal of Nuck. This so-called ‘female hydrocoele’ is an eponymous anatomical rarity in general surgery, presenting as an inguinolabial swelling with variable clinical profile. Hydrocoele of canal of Nuck takes origin from failure of transitory reproductive anlagen to regress and is thus analogous to patent processus vaginalis. Its true incidence is speculative, with just several hundred cases globally. We aim to provide insights into surgical patient management for a rare entity during the COVID-19 outbreak, from the unique perspective of a small rural hospital in Scotland.

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

“…Abdominal magnetic resonance imaging has a higher diagnostic value. It provides specific detailed anatomical relation with the other structural and above that in evaluating consistency, contact of mass, assessing peritoneal cavity communication, and utilizing other groin masses, the lesion in T1 hypointense and hyperintense in T2 [17] . Most of the cases, the diagnosis was made intra-operatively as mentioned earlier, as in the present case.…”

Cyst and endometriosis of the canal of Nuck: rare differentials for a female groin mass

“…Clinically, CCN presents as a palpable, fluctuant, reducible or irreducible swelling in the inguinolabial region, which can be either painless or moderately painful [ 6 ]. Omental and intestinal contents may also herniate through a patent canal of Nuck, and approximately one-third of patients with a CCN can have a concurrent inguinal hernia requiring simultaneous repair [ 5 ].…”

Risiko Paparan Covid-19 Pada Karyawan Di Rs X

“…Selama gelombang pertama pandemi COVID-19 di Inggris, sekitar satu dari sembilan pasien rumah sakit terinfeksi COVID-19 setelah dirawat di rumah sakit (17). Seorang pasien oligosimtomatik dengan gejala gastrointestinal didiagnosis menderita COVID-19 selama dirawat di rumah sakit, meskipun tidak menunjukkan gejala khas seperti batuk atau demam (18).…”