scholarly journals Endometriosis of the Inguinal Canal Mimicking a Hydrocele of the Canal of Nuck

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Oshan Basnayake ◽  
Umesh Jayarajah ◽  
Sanjeewa Anuruddha Seneviratne

Isolated presentation of endometriosis of the inguinal canal is infrequent, and the clinical and imaging findings may be misleading in such patients. We describe an otherwise healthy female with isolated inguinal endometriosis presenting as a hydrocele of the canal of Nuck. Surgeons should consider such unusual presentations and obtain imaging and histological evaluations in doubtful instances. Complete excision was curative in our patient with no evidence of recurrence.

2009 ◽  
Vol 12 (3) ◽  
pp. 125-127 ◽  
Author(s):  
A. Ozel ◽  
O. Kirdar ◽  
A.M. Halefoglu ◽  
S.M. Erturk ◽  
Z. Karpat ◽  
...  

2017 ◽  
Vol 28 (04) ◽  
pp. 378-382 ◽  
Author(s):  
Sung Lee

Introduction Hydrocele of the canal of Nuck (HCN) causes an inguinal swelling in pediatric females similar to that observed in case of inguinal hernia. HCN should be considered in the differential diagnosis of hernia in such children. Although laparoscopic operations have been reported in several cases for the treatment of HCN in adults, they have not been reported for the treatment in pediatrics. This study aimed to evaluate the outcomes of laparoscopic intracorporeal hydrocelectomy with high ligation as a treatment for HCN in pediatrics. Materials and Methods I retrospectively reviewed the charts of 26 pediatric females aged ≤10 years who underwent laparoscopic hydrocelectomy with high ligation at Damsoyu Hospital, Seoul, Republic of Korea from September 2012 to December 2016. Results The mean age was 3.31 (1–10) years. HCN was on the right in 11 patients and on the left in 15. The presenting symptom in all cases was inguinal swelling. HCN was of the hourglass type inside the inguinal canal in 17 patients and in the abdominal cavity outside the inguinal canal in 9. All patients were treated with laparoscopic hydrocelectomy with high ligation. The mean operating time was 17.8 minute (15–30). The wounds were scarcely visible immediately after surgery. There were no postoperative complications and no recurrences on follow-up. Conclusion Laparoscopic intracorporeal hydrocelectomy with high ligation is effective for HCN in pediatrics owing to its short operating time, excellent cosmesis, and no recurrence.


2021 ◽  
Vol 7 (2) ◽  
pp. 28-31
Author(s):  
Deki Choden ◽  
Kinley Sangay Dorji ◽  
Sonam Choden

ABSTRACTRetroperitoneal teratoma is a extragonadal germ cell tumor comprising 5% of all teratomas in children, and the third most common retroperitoneal neoplasm in children. This is a case report of a 2 years old girl who presented with abdominal distension and palpable mass. The imaging findings of the mass was characteristic of retroperitoneal teratoma which was confirmed by histopathology report following complete excision. Retroperitoneal tumor is an uncommon tumor in children with characteristic imaging findings. Computed tomography is mainly used to evaluate the extent of the disease. Most of the retroperitoneal tumors are benign and curable with complete surgical excision.


1970 ◽  
Vol 9 (2) ◽  
pp. 116-118
Author(s):  
A Bajracharya ◽  
S Adhikary ◽  
CS Agrawal

The processus vaginalis is an envagination of parietal peritoneum which accompanies the round ligament through the inguinal ring into the inguinal canal. The portion of processus vaginalis within the inguinal canal in women is called ‘the canal of Nuck’. When the processus vaginalis fails to close, it can result in a hernia or hydrocele in both men and women. Female hydrocele of the canal of Nuck is uncommon. A literature search revealed that little has been published on this condition. We present a case of a hydrocele of the canal of Nuck in a 23-year old female who had an irreducible swelling over the left groin for three months and increasing in size on straining. The cyst was excised with round ligament and a repair of inguinal canal with closure of deep ring was done. Keywords: hydrocele; female hydrocele; canal of Nuck DOI: http://dx.doi.org/10.3126/hren.v9i2.4985 Health Renaissance 2011: Vol.9 (No.2): 116-118


2019 ◽  
Vol 6 (9) ◽  
pp. 3415
Author(s):  
Atish K. Parikh ◽  
Girish D. Bakhshi ◽  
Deepak B. Gadekar ◽  
Kushagra Rahul ◽  
Kritika Garg

A hydrocele of canal of Nuck is a rare condition seen in females, commonly in the pediatric age group. The canal of Nuck is an extension of peritoneum into the inguinal canal through the deep ring, analogous to the processus vaginalis in males. Incomplete proximal obliteration and collection of serous fluid in the sac leads to the formation of a hydrocele of canal of Nuck. Here we present a rare case of hydrocele of canal of Nuck in an adult female.


2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Dani Zoorob ◽  
Mahala Spalsbury ◽  
Tiffany Slutz ◽  
Madeleine Oliver ◽  
Ibrahim Tsolakian ◽  
...  

Background. Persistent canal of Nuck may manifest in adulthood and be detected after increased abdominal pressure. Case. A 52-year -old female undergoing a robotic hysterectomy developed an acute left labial enlargement. The patient was discovered to have an 8 × 4 × 4 cm swelling in the left labium majus. Palpation revealed the mass to be air-filled and reducible by gentle compression with slow redevelopment upon release of the pressure while intra-abdominal insufflation was maintained. Conclusion. We present the first case of a labial pneumatocele during robotic hysterectomy. We theorize that the underlying cause to be a patent canal of Nuck that, once supplied with increasing abdominal peritoneal pressure, allowed air to travel into the labia majora through the inguinal canal. Simple reduction corrected the pneumatocele and no complications or recurrence was noted postop. This case suggests that pathologies of the canal of Nuck should be considered in the differential of an adult presenting with inguinal or genital swelling.


Author(s):  
Manisha Albal ◽  
Prasad Y. Bansod ◽  
Pratik Singh ◽  
Rahul Dhole

A small evagination of parietal peritoneum forms the canal of Nuck. By the first year of life this extension condenses into a fibrous cord. Cyst of canal of Nuck is a rare developmental anomaly. The inguinal canal is traversed by the spermatic cord in male and the round ligament of uterus in female. The processus vaginalis accompanies the round ligament through the inguinal canal through into the labium majus. This evagination of parietal peritoneum forms the canal of Nuck in the female. These cases are rarely seen in surgical practice. In this case series we described three clinical scenario of canal of Nuck and their management. 


Author(s):  
Marco Parillo ◽  
Carlo Altomare ◽  
Antonella Bianchi ◽  
Bruno Beomonte Zobel ◽  
Carlo De Cicco Nardone ◽  
...  

Introduction: Endometriosis is a common and chronic gynaecological condition but the implant in the canal of Nuck constitutes a very unusual state with an estimated prevalence of 0.3%–0.6% of all endometriosis cases. The canal of Nuck is an abnormal patent pouch of parietal peritoneum extending anteriorly from the round ligament of the uterus into the labia majora, thus represents a communication between the peritoneal cavity and the female inguinal canal. This condition may permit the seeding of endometriotic tissue in the inguinal soft tissues, becoming a possible cause of inguinal swelling or pain. Case description: A 43-years-old woman presented with painful swelling in her left groin. Ultrasound and a subsequent pelvic computed tomography showed a cystic lesion as for a Nuck’s canal encysted hydrocele. The patient underwent an anterior open surgery and the histologic examination revealed an endometrium-like tissue in the cystic wall. Conclusion: In women presenting with painful swelling of the groin, despite its rarity, endometriosis of the Nuck’s canal must be differentiated from other more common pathologies like hernias, varicoceles, neoplasms, and lymphadenopathies. Imaging can aid in differential diagnosis, but the final diagnosis is entrusted to histology, which enable to exclude an underlying malignancy.


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