Hydrocele of the Canal of Nuck Presenting as Inguinal Swelling in an Adult Female: A Case Report.
DOI:
https://doi.org/10.63682/jns.v14i10S.10276Keywords:
Canal of Nuck, Hydrocele, Female inguinal swelling, Processus vaginalis, Case reportAbstract
INTRODUCTION: Foreign body aspiration is a significant cause of morbidity and mortality in children and presents distinct Hydrocele of the canal of Nuck is a rare condition in adult females and is often misdiagnosed as an inguinal hernia or other groin pathology (1,2). We report the case of a 31-year-old female who presented with a six-month history of right-sided inguinal swelling. Ultrasonography revealed a lobulated tubular cystic lesion extending from the intrapelvic region into the right inguinal canal and labia majora without evidence of bowel or omental herniation, suggestive of an encysted hydrocele of the canal of Nuck (3,6). The patient underwent surgical excision of the cystic sac with ligation of the proximal patent processus vaginalis under spinal anesthesia. The postoperative course was uneventful. This case highlights the need to consider canal of Nuck hydrocele as a differential diagnosis in females presenting with inguinal swelling and emphasizes the role of ultrasonography as a reliable first-line diagnostic modality (5,8).
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[1] Keeratibharat N, Chansangrat J. Hydrocele of the canal of Nuck: A review. Cureus. 2022;14:e23757.
[2] Nasser H, King M, Rosenberg HK, Rosen A, Wilck E, Simpson WL. Anatomy and pathology of the canal of Nuck. Clin Imaging. 2018;51:83-92.
[3] Stickel WH, Manner M. Female hydrocele (cyst of the canal of Nuck): sonographic appearance of a rare and little-known disorder. J Ultrasound Med. 2004;23:429-432.
[4] Counseller VS, Black BM. Hydrocele of the canal of Nuck: Report of seventeen cases. Ann Surg. 1941;113:625-630.
[5] Shadbolt CL, Heinze SB, Dietrich RB. Imaging of groin masses: inguinal anatomy and pathologic conditions revisited. Radiographics. 2001;21:S261-S271.
[6] Ozel A, Kirdar O, Halefoglu AM, et al. Cysts of the canal of Nuck: ultrasound and MRI findings. J Ultrasound. 2009;12:125-127.
[7] Matsumoto T, Hara T, Hirashita T, Kubo N, Hiroshige S, Orita H. Laparoscopic diagnosis and treatment of a hydrocele of the canal of Nuck: a case report. Int J Surg Case Rep. 2014;5:861-864.
[8] Revzin MV, Ersahin D, Israel GM, et al. US of the inguinal canal: comprehensive review of pathologic processes with CT and MR imaging correlation. Radiographics. 2016;36:2028-2048.
[9] Rees MA, Squires JE, Tadros S, Squires JH. Canal of Nuck hernia: a multimodality imaging review. Pediatr Radiol. 2017;47:893-898.
[10] Saguintaah M, Eulliot J, Bertrand M, et al. Canal of Nuck abnormalities in pediatric female patients. Radiographics. 2022;42:541-558.
[11] Sarkar S, Panja S, Kumar S. Hydrocele of the canal of Nuck (female hydrocele): a rare differential for inguino-labial swelling. J Clin Diagn Res. 2016;10:PD21-PD22.
[12] Lai I, Page A, Hamidinia F, Rahmani R. Cysts of the canal of Nuck: a rare sonographic diagnosis. J Clin Ultrasound. 2017;45:175-178.
[13] Kochis M, Goldstein AM, Griggs C. Canal of Nuck hydrocele. J Pediatr Surg Case Rep. 2021;74:102049.
[14] Ryan JD, Joyce MR, Pierce C, Brannigan A, O’Connell PR. Haematoma in a hydrocele of the canal of Nuck mimicking a Richter’s hernia. Hernia. 2009;13:643-645.
[15] Bagul A, Jones S, Dundas S, Aly EH. Endometriosis in the canal of Nuck hydrocele: an unusual presentation. Int J Surg Case Rep. 2011;2:288-289.
[16] Qureshi NJ, Lakshman K. Laparoscopic excision of cyst of canal of Nuck. J Minim Access Surg. 2014;10:87-89.
[17] Shahid F, El Ansari W, Ben-Gashir M, Abdelaal A. Laparoscopic hydrocelectomy of the canal of Nuck in adult female: case report and literature review. Int J Surg Case Rep. 2020;66:338-341.
[18] Topal U, Sarıtaş AG, Ülkü A, Akçam AT, Doran F. Cyst of the canal of Nuck mimicking inguinal hernia. Int J Surg Case Rep. 2018;52:117-119.
[19] Thomas AK, Thomas RL, Thomas B. Canal of Nuck abnormalities. J Ultrasound Med. 2020;39:385-395.
[20] Jedrzejewski G, Osemlak P, Wieczorek AP, Nachulewicz P. Nuck canal hernias: typical and unusual ultrasound findings. Ultrasound Q. 2019;35:79-81
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