scholarly journals Cyst of canal of Nuck-a rare clinical entity: case series and review of literature

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. 

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


2017 ◽  
Vol 7 (1) ◽  
pp. 39-41
Author(s):  
Khaleda Parvin Rekha ◽  
Sohel Abdullah ◽  
Mashah Binte Amin

In women, the round ligament is attached to the uterus near the origin of the fallopian tube, and a small evagination of parietal peritoneum accompanies the round ligament through the inguinal canal to the labium majorum. This small evagination of parietal peritoneum, named the canal of Nuck in women, is the equivalent of the processus vaginalis in men. Incomplete obliteration of the processus vaginalis causes indirect inguinal hernia or hydrocele of the canal of Nuck, a very rare condition in women. Here, we report a case of ovary-containing hernia of the canal of Nuck that was diagnosed with ultrasonography and was surgically confirmed. Gray scale and color Doppler ultrasonographic features studied were: the site and the size of the hernia, the texture of the hernia contents and the presence or absence of blood flow in the hernia contents.J Enam Med Col 2017; 7(1): 39-41


Author(s):  
Livia Bressan ◽  
Barbara Pozzetto ◽  
Bussani Rossana ◽  
Livia Bressan ◽  
Marina Bortul ◽  
...  

Introduction: Cyst of Nuck in women is a rare development disorder corresponding to hydrocoele of the spermatic cord in males; it can be associated with inguinal hernia in 30-40% of cases. Only 400 cases have been described in literature and in there are no older than 50. Case Presentation: A 62-year-old presented a right aching inguinal swelling. On physical examination the mass was not reducible, without signs of incarceration or strangulation. On ultrasound the lesion was mostly hypoechoic. CT saw an over liquid lesion, confirmed on MRI as a lesion hypointense in T1 and hyperintense in T2. The patient underwent open surgery: the cyst was separated from the round ligament and excised in mass and the defect was repaired with a prolene mesh. The histopathological exam confirmed the hydrocoele (calretinin positive, mesothelial cells on the inner surface). Discussion: The canal of Nuck is a small evagination of the parietal peritoneum that accompanies the round ligament into the inguinal canal during the first year of female development and is normally obliterated in the first year of life. Failure of obliteration of Nuck canal results in a hydrocoele that could develop intraabdominal or extra – abdominal or both. Ultrasound shows a thin walled, well defined, echo free cystic structure but the perfect diagnosis is given by MRI. Therapy is surgical and it can be open or, more recently, laparoscopic, depending on the expertise of the surgeon. Conclusion: A cyst of Nuck is a rare condition but it should always be considered in differential diagnosis of cystic inguinal lumps in women. Most of the reported cases concern children and young men. To our knowledge this is the only case regarding a more than 50-year-old.


2016 ◽  
Vol 1 (1) ◽  
pp. 84-86
Author(s):  
Mohammed Babakir-Mina

The canal of Nuck is analogous to a patent processus vaginalis in a male, which normally loses its communication to the peritoneal cavity within the first year of life. Failure of obliteration of this tract can result in a hydrocele. We present a case of 38 years old lady referred to our surgical unit from Gynecologist as left obstructed femoral hernia. A fluid filled sac (Encysted Hydrocele of Canal of Nück) with small indirect inguinal hernia.


2018 ◽  
Vol 23 ◽  
pp. 2515690X1881697
Author(s):  
Cheryl Hawk ◽  
Amy Minkalis ◽  
Carol Webb ◽  
Olivia Hogan ◽  
Sharon Vallone

Exclusive breastfeeding for the first 6 months, and continuing for at least the first year of life, is strongly recommended. Suboptimal breastfeeding, which is breastfeeding that does not meet these recommendations, is a multifactorial issue. Some authorities, particularly in the nursing and lactation counseling professions, have identified musculoskeletal issues that may interfere with successful breastfeeding. The purpose of this project was to survey the literature on manual treatments to correct musculoskeletal dysfunctions in infants with suboptimal breastfeeding. Our research question was, “Have manual interventions been used to correct infants’ musculoskeletal dysfunctions thought to be linked to suboptimal breastfeeding?” We searched PubMed and Index to Chiropractic Literature, from inception through July 2018, as well as relevant gray literature. We assessed quality of randomized controlled trials (RCTs) and cohort studies using modified SIGN checklists, and the overall strength of evidence using GRADE. The search yielded 461 articles, with a final inclusion of 27 articles: 7 expert commentaries, 1 high-quality RCT, 1 low-quality cohort, 1 pilot study, 2 cross-sectional surveys, 5 narrative reviews, and 10 case series or case reports. Combining the 10 case series and reports in our search with 18 discussed in narrative reviews included in our review yielded 201 infants who received manual therapy for nursing dysfunction. No serious adverse events were reported and improvement in nursing ability was observed using various outcome measures, usually maternal report. Based on the GRADE criteria, there is moderate positive evidence for the effect of manual therapy on suboptimal breastfeeding.


2018 ◽  
Vol 12 (2) ◽  
pp. 187-196 ◽  
Author(s):  
J. Wright ◽  
R. A. Hill ◽  
D. M. Eastwood ◽  
A. Hashemi-Nejad ◽  
P. Calder ◽  
...  

Purpose To review the initial deformity and subsequent remodelling in posteromedial bowing of the tibia and the outcome of limb reconstruction in this condition. Patients and Methods In all, 38 patients with posteromedial bowing of the tibia presenting between 2000 and 2016 were identified. Mean follow-up from presentation was 78 months. A total of 17 patients underwent lengthening and deformity correction surgery, whilst three further patients are awaiting lengthening and deformity correction procedures. Results The greatest correction of deformity occurred in the first year of life, but after the age of four years, remodelling was limited. The absolute leg-length discrepancy (LLD) increased throughout growth with a mean 14.3% discrepancy in tibial length. In the lengthening group, mean length gained per episode was 45 mm (35 to 60). Mean duration in frame was 192 days, with a mean healing index of 42.4 days/cm. Significantly higher rates of recurrence in LLD were seen in those undergoing lengthening under the age of ten years (p = 0.046). Four contralateral epiphysiodeses were also performed. Conclusion Posteromedial bowing of the tibia improves spontaneously during the first years of life, but in 20/38 (53%) patients, limb reconstruction was indicated for significant residual deformity and/or worsening LLD. For larger discrepancies and persistent deformity, limb reconstruction with a hexapod external fixator should be considered as part of the treatment options. Level of evidence Level IV (Case series)


2021 ◽  
Vol 8 (2) ◽  
pp. 1-2
Author(s):  
Saccomanni Bernardino ◽  

Mesenchymal Hamartoma is a rare, benign osseous tumor that typically involves the rib cage and presents during the first year of life. There is a case of this tumor originating in the cervical spine, described in literature. I document a brief literature review. In this review, there are not figures and outcomes.


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.


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