scholarly journals Cyst of Canal of Nuck in a 62-Year-Old Woman: Case Report of a Rare Disease

2020 ◽  
pp. 1-5
Author(s):  
Livia Bressan ◽  
Barbara Pozzetto ◽  
Bussani Rossana ◽  
Livia Bressan ◽  
Marina Bortul ◽  
...  
Keyword(s):  
Spermatic Cord ◽  
Inguinal Canal ◽  
Rare Condition ◽  
Round Ligament ◽  
First Year ◽  
Female Development ◽  
Prolene Mesh ◽  
Case Presentation ◽  
Canal Of Nuck ◽  
First Year Of Life

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.

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

2021 ◽  
Author(s):  
Manisha Albal ◽  
Prasad Y. Bansod ◽  
Pratik Singh ◽  
Rahul Dhole
Keyword(s):  
Inguinal Canal ◽  
Case Series ◽  
Round Ligament ◽  
Parietal Peritoneum ◽  
First Year ◽  
Review Of Literature ◽  
Processus Vaginalis ◽  
Canal Of Nuck ◽  
First Year Of Life ◽  
Labium Majus

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. 

scholarly journals Diagnosis of Ovary-Containing Indirect Inguinal Hernia of the Canal of Nuck by Ultrasound

2017 ◽  
Vol 7 (1) ◽  
pp. 39-41
Author(s):  
Khaleda Parvin Rekha ◽  
Sohel Abdullah ◽  
Mashah Binte Amin
Keyword(s):  
Blood Flow ◽  
Inguinal Hernia ◽  
Inguinal Canal ◽  
Color Doppler ◽  
Rare Condition ◽  
Round Ligament ◽  
Parietal Peritoneum ◽  
Indirect Inguinal Hernia ◽  
Processus Vaginalis ◽  
Canal Of Nuck

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

scholarly journals Operation procedure of sacrococcygeal fetus in fetu

2011 ◽  
Vol 51 (1) ◽  
pp. 58 ◽  
Author(s):  
Rochadi Rochadi
Keyword(s):  
Adrenal Gland ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Mature Embryo ◽  
First Year ◽  
Fetus In Fetu ◽  
Sacrococcygeal Region ◽  
Parasitic Twin ◽  
Operation Procedure ◽  
First Year Of Life

Fetus in fetu is a condition in wich a fetiform calcified mass often presents in the abdomen of its host, a newborn. It is extremely rare condition, estimated once in 500,000 deliveries and has a 2: 1 male predominantly; with most patient presenting with an abdominal  mass in the first year of life. 5,13 The term fetus in fetu is used to point out an unequal division of totipotential cells of blastocyst where the result is the inclusion of a small cellular mass in the more mature embryo. It was encapsulated, pedunculated and represents a malformed monozygotic, monochorionic, diamniotic parasitic twin. In 80% cases, fetus in fetu is located  retroperitonealy but can be found in unusual location such as in oropharynx, neck, skull mediastinum, pelvis, iliac mesentery, adrenal gland, sacrococcygeal region and scrotal sac.

scholarly journals Intestinal Malrotation, Mesocolic Hernia, and Meckel Diverticulum – Differential Diagnosis of Abdominal Pain in Adults: Case Report and Literature Review

2021 ◽  
Vol 41 (03) ◽  
pp. 325-328
Author(s):  
Marcus Vinícius Silva Costa ◽  
Márcia Cristina de Alencastro ◽  
Samyra Braz de Linica ◽  
Tiago dos Santos Ferreira ◽  
Edson Soares Bezerra ◽  
...  
Keyword(s):  
Embryonic Development ◽  
Mesenteric Artery ◽  
Rare Condition ◽  
Anatomical Variations ◽  
Intestinal Malrotation ◽  
First Year ◽  
Meckel Diverticulum ◽  
Intestinal Segments ◽  
First Year Of Life ◽  
Specific Symptoms

AbstractIntestinal malrotation is a congenital anomaly caused by incomplete rotation or absence of rotation of the primitive intestine along the axis of the upper mesenteric artery during embryonic development. Embryonic development and its anatomical variations were described by Dott in 1923.Intestinal malrotation is a rare condition among adults – prevalent in a mere 0.0001% to 0.19% of the population –, and it may be associated with other anatomical deformities. It can be asymptomatic or manifest with varying intensity, from obstruction to necrosis of intestinal segments. In general, this abnormality is diagnosed in the first year of life; however, symptoms may appear later in life, making diagnosis in adults difficult on account of non-specific symptoms.In the present study, we report a case of intestinal malrotation associated with chronic non-specific symptoms progressing to mesenteric angina.

scholarly journals Inguinal ureter herniation evaluated with magnetic resonance imaging: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Matteo Renzulli ◽  
Guido Marzocchi ◽  
Giulio Vara ◽  
Beniamino Corcioni ◽  
Anna Maria Ierardi ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Urinary Tract ◽  
Magnetic Resonance ◽  
Inguinal Canal ◽  
Rare Condition ◽  
Resonance Imaging ◽  
Intravenous Contrast ◽  
Case Presentation ◽  
Full Study ◽  
First Time

Abstract Background The herniation of the ureter into the inguinal canal is a rare condition, but probably underreported. Acquired nephroptosis could cause herniation of the ureter and, therefore, when diagnosed, a full study of the urinary tract should be performed especially in patients with inguinal hernia. Case presentation We present the case of an 86-year-old white man with a herniated ureter likely caused by acquired nephroptosis presenting with acute urinary retention, documented with magnetic resonance imaging for the first time. Conclusions The Fast Imaging Employing Steady State Acquisition sequence on magnetic resonance imaging, for many reasons, could allow correct evaluation of the urinary tract, especially in cases of renal dysfunction that contraindicate the use of intravenous contrast agents.

scholarly journals Female hydrocele

1970 ◽  
Vol 9 (2) ◽  
pp. 116-118
Author(s):  
A Bajracharya ◽  
S Adhikary ◽  
CS Agrawal
Keyword(s):  
Literature Search ◽  
Inguinal Canal ◽  
Round Ligament ◽  
Parietal Peritoneum ◽  
Processus Vaginalis ◽  
Left Groin ◽  
Men And Women ◽  
Canal Of Nuck

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

scholarly journals Suprapatellar bursitis in a newborn

2021 ◽  
Vol 10 (2) ◽  
pp. 199-202
Author(s):  
IIya O. Erenkov ◽  
Ivan S. Denisov ◽  
Svetlana A. Zarubina
Keyword(s):  
Knee Joint ◽  
Blood Test ◽  
White Cell Count ◽  
Treatment Strategies ◽  
Rare Condition ◽  
Well Being ◽  
Patient Treatment ◽  
First Year ◽  
First Year Of Life

Introduction. One of the most frequent pathologies in childhood is bursitis of the knee joint. Such conditions may occur in infectious pathologies, traumatic disorders, overuse syndromes, and other various pathologies. Diagnostic and treatment strategies depend on the cause of bursitis development. Particular attention should be paid to bursitis cases in newborns since the frequency of such pathologies is casuistic and clinical guidelines for treating patients in this age group are absent. Materials and methods. A 26-day-old newborn arrived for consultation with complaints of knee joint pain and movement restrictions for four days. From five to 21 days of life, she has had in-patient treatment at another clinic because of pneumonia and a urinary tract infection. Intravenous and intramuscular injections of antibacterial drugs were prescribed for two weeks. The condition of the newborn was satisfactory upon consultation in our clinic. Her physical examination showed swelling and muscle tightness on the distal part of the thigh. The range of motion of the shinbone was restricted. Her blood test showed that her white cell count was unchanged. According to an X-ray examination of the knee, no pathology was detected. According to the US-examination, exudative suprapatellar bursitis was detected. The nonsteroidal anti-inflammatory drug, Nimesulid, was prescribed for seven days. Results. Daily remote monitoring of the patient's well-being during treatment was performed. Movement restrictions reduced the swelling on day 3 of treatment. A follow-up blood test on day 4 of treatment showed no pathology. According to the follow-up US-examination after six days of drug therapy, no signs of bursitis were detected. Conclusion. Inflammation of the suprapatellar bursa is a rare condition in newborns. In isolated cases of bursitis in children during the first year of life, a bacterial presence was noted, with the predominance of staphylococcal and streptococcal floras. However, in our opinion, there is a possibility of developing aseptic forms of bursitis in infants. In these cases, it may be prudent to refrain from prescribing courses of antibiotic therapy.

scholarly journals Hydrocele of canal of Nuck in an adult female: a case report

2019 ◽  
Vol 6 (9) ◽  
pp. 3415
Author(s):  
Atish K. Parikh ◽  
Girish D. Bakhshi ◽  
Deepak B. Gadekar ◽  
Kushagra Rahul ◽  
Kritika Garg
Keyword(s):  
Adult Female ◽  
Rare Case ◽  
Inguinal Canal ◽  
Rare Condition ◽  
Age Group ◽  
Pediatric Age ◽  
Serous Fluid ◽  
Processus Vaginalis ◽  
Pediatric Age Group ◽  
Canal Of Nuck

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.

scholarly journals Encysted Hydrocele of Canal of Nück

2016 ◽  
Vol 1 (1) ◽  
pp. 84-86
Author(s):  
Mohammed Babakir-Mina
Keyword(s):  
Inguinal Hernia ◽  
Peritoneal Cavity ◽  
Femoral Hernia ◽  
First Year ◽  
Indirect Inguinal Hernia ◽  
Processus Vaginalis ◽  
Patent Processus Vaginalis ◽  
Canal Of Nuck ◽  
First Year Of Life ◽  
Surgical Unit

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.

scholarly journals Missed Lipoma of the Spermatic Cord

2013 ◽  
Vol 114 (1) ◽  
pp. 5-8 ◽  
Author(s):  
Oktay Yener ◽  
M. Demir ◽  
R. Yiğitbaşı ◽  
A. Yilmaz
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Open Repair ◽  
Inguinal Canal ◽  
Round Ligament ◽  
Adequate Treatment ◽  
Inguinal Hernias

The aim of the research was to determine the incidence, significance, and anatomy of spermatic cord and round ligament lipomas. Between 2000 and 2010 we evaluated 969 consecutive patients with 1,070 indirect inguinal hernias, who underwent open repair.  A total of 22 lipomas of the spermatic cord or round ligament were identified and resected in 22 patients. No neoplastic changes confirmed in histopathologic examinations of the specimens were reported. Lipomas of the cord and round ligament occur with a considerable incidence. We believe that even if there is no peritoneal sac, the herniation of extraperitoneal fat through the inguinal canal should be counted as an inguinal hernia, and it requires adequate treatment.

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