Canal of Nuck hernia: A Case Report and Literature Review

Abstract

Background: The canal of Nuck represents an anatomical remnant in females, resulting from incomplete closure of the processus vaginalis during embryonic development. It can lead to various clinical entities such as hernias and hydroceles, necessitating prompt recognition and management to prevent serious complications. Case Presentation: We present a case of a 24-year-old female with a longstanding history of right inguinal swelling associated with intermittent lower abdominal pain. Initial physical examination and imaging studies revealed findings consistent with a canal of Nuck hydrocele. Despite conservative management, persistent symptoms prompted surgical intervention. Intraoperatively, the canal contained round ligament tissue, confirming the diagnosis of a canal of Nuck hernia. The patient underwent successful hernia sac excision with mesh application and had an uneventful postoperative course. Conclusion: Canal of Nuck hernias are rare but can present with chronic symptoms and potentially serious complications such as incarceration or strangulation. Timely diagnosis using imaging modalities such as ultrasound and MRI is crucial for appropriate management, often requiring surgical intervention to alleviate symptoms and prevent recurrence.