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

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

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Female hydrocele

Health Renaissance ◽

10.3126/hren.v9i2.4985 ◽

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

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

International Surgery Journal ◽

10.18203/2349-2902.isj20211960 ◽

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.

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

International Surgery Journal ◽

10.18203/2349-2902.isj20194090 ◽

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.

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Encysted Hydrocele of Canal of Nück

Kurdistan Journal of Applied Research ◽

10.24017/science.2016.1.1.10 ◽

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.

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

International Journal of Surgical Case Reports ◽

10.31487/j.ijscr.2020.02.03 ◽

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.

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Prenatal Diagnosis of a Cyst of the Canal of Nuck Associated With an Ovarian Cyst and Acute Polyhydramnios

Journal of Diagnostic Medical Sonography ◽

10.1177/8756479320908228 ◽

2020 ◽

Vol 36 (3) ◽

pp. 277-286

Author(s):

Lisa M. Allen ◽

Kathleen D. Williams

Keyword(s):

Differential Diagnosis ◽

Ovarian Cyst ◽

Medical Literature ◽

Inguinal Canal ◽

Rare Condition ◽

Developmental Abnormality ◽

Unique Combination ◽

Processus Vaginalis ◽

Pelvic Organs ◽

Canal Of Nuck

In the female, the canal of Nuck is a tubular fold of parietal peritoneum that travels along with the round ligament through the inguinal canal to its attachment on the labia majora. The canal of Nuck is analogous to the processus vaginalis in the male. In embryonic development, this pathway typically obliterates early in life; however, in some cases, it may partially or completely fail to close. This failure to obliterate can lead to complications ranging from a cyst of the canal of Nuck (also known as a female hydrocele) to herniation and incarceration of abdominal and pelvic organs. There is little information available in the medical literature concerning this rare condition; therefore, it is important for sonographers, physicians, and surgeons to be familiar with this developmental abnormality. This report represents the first prenatal case of a cyst of the canal of Nuck, along with the unique combination of a large left fetal ovarian cyst and acute polyhydramnios. The embryology, incidence, differential diagnosis, management, and treatment of these female conditions are discussed.

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Surgical treatment of inguinal hernia in childhood

Kazan medical journal ◽

10.17816/kazmj77427 ◽

1927 ◽

Vol 23 (9) ◽

pp. 972-972

Author(s):

I. Tsimkhes

Keyword(s):

Early Childhood ◽

Inguinal Hernia ◽

Surgical Treatment ◽

Inguinal Canal ◽

Older Children ◽

Processus Vaginalis ◽

Hernia Sac ◽

Absolute Certainty ◽

Inguinal Hernias

The author finds that the number of inguinal hernias in early childhood, due to incomplete overgrowth of the processus vaginalis peritonei, greatly prevails over the number of the same in older children. Some of these hernias heal spontaneously due to overgrowth of proc. vaginalis and lengthening of the inguinal canal itself. Bandage treatment, even in the most cultured setting, cannot guarantee with absolute certainty the budding of the hernia sac.

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Modified shouldice repair of bilateral inguinal hernia with hydrocele: A case report

South East Asia Journal of Public Health ◽

10.3329/seajph.v7i1.34683 ◽

2017 ◽

Vol 7 (1) ◽

pp. 62-65

Author(s):

Smit Shah ◽

Praful Shah

Keyword(s):

Case Report ◽

Inguinal Hernia ◽

Medical Condition ◽

Interesting Case ◽

Indirect Inguinal Hernia ◽

Bilateral Inguinal Hernia ◽

Processus Vaginalis ◽

Shouldice Repair ◽

Operative Outcome ◽

Common Medical Condition

Indirect inguinal hernia is a common medical condition that can be caused by an embryological defect due to failure of closure of processus vaginalis that can lead to herniation (i.e. abnormal protrusion) of abdominal contents into scrotal sac in males. In this paper, we describe an interesting case report of a patient with bilateral inguinal hernia with hydroceles who underwent a modified shouldice repair. In addition, we also discuss initial presentation & surgical management of this patient who had painless postero-inferior displacement of testes. Reason why we think this case is unique, is because of ‘bilateral’ hydroceles along with bilateral inguinal hernia which is rarely seen as compared to its unilateral counterparts. We also describe various surgical steps of modified shouldice repair with bilateral orchiopexy along with the post-operative outcome. Finally, we also discuss various types of hydroceles, along with its pathology that is found after surgical resection.South East Asia Journal of Public Health Vol.7(1) 2017: 62-65

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