Canal Of Nuck Research Articles

Nuck cyst: a rare cause of inguinal swelling in infancy.

Inguinal and/or inguino-scrotal swellings, such as hernia and hydrocele, are among the commonest anomalies in childhood. Hydrocele of the canal of Nuck is an uncommon diagnosis and a rare cause of swelling in women that occurs due to a patent vaginal process. From January 2001 to January 2016, 353 female patients 1-14 years of age were admitted to our university hospital division for inguinal swelling. We have performed 403 inguinal approaches, and of these, 399 (99%) had inguinal hernias, 3 (0.74%) had a cyst of the canal of Nuck, and 1 (0.24%) had a lipoma. All of the patients with Nuck cysts underwent surgical exploration of the swelling through a right inguinal skin crease incision. The patients were between the ages of 1 and 8 years. The cyst sizes varied between 25 and 40 mm. All the patients exhibited right, tender, painless, non-reducible masses. In all patients, ultrasound confirmed the suspected diagnosis. The histological findings revealed fibrous-walled cystic formations with mild chronic inflammatory infiltrate that were covered by mesothelial epithelium. The patients' postoperative follow-ups at 1, 6 and 12 months revealed normally healed incisions with no recurrences. The surgical findings and the histological demonstrations of serous epithelium seemed to validate the hypothesis that the patency of the inguinal canal combined with fluid secretion of the peritoneal serosa participated in the formation of the cysts. Surgery with high ligature of the vaginal process is considered the therapy of choice for this pathology.

Hydrocele of the canal of Nuck: a rare developmental anomaly

Hydrocele of the canal of Nuck: a rare developmental anomaly

Image of the month: cyst of the canal of Nuck

A 48-year-old female patient presented to our clinic complaining about a painless swelling in her right groin region. Her anamnesis revealed that a swelling had occurred in her right groin without ...

Pathologies of the canal of Nuck

AbstractPathologies involving the canal of Nuck are a little known developmental disorder with this embryological entity barely mentioned in most embryology and anatomy textbooks. This article will review the embryology and anatomy of the canal of Nuck and discuss the different pathologies that may be diagnosed. Ultrasound has the ability to accurately diagnose canal of Nuck pathologies and to differentiate between the types of hydroceles and the contents of congenital inguinal hernias. Ultrasound also provides valuable information on the contents perfusion and reducibility, thus helping to facilitate clinical management and timing of any surgical intervention. Pathologies of the canal of Nuck, while rare, should be considered as a differential diagnosis when investigating groin, labia or inguinal masses in female children.

Hernia of Canal of Nuck

Hernia of Canal of Nuck

Female hydrocele of the canal of Nuck: a case report

Female hydrocele of the canal of Nuck: a case report

Giant cyst of the Nuck canal: a worrisome trouble for a girl

Giant cyst of the Nuck canal: a worrisome trouble for a girl

Endometriosis-associated hydrocele of the canal of Nuck with immunohistochemical confirmation: a case report

BackgroundThe canal of Nuck is an embryological vestige of the processus vaginalis, and presents a potential site for endometriosis seeding. Hydroceles in this region are a rare cause of inguinal swelling in females. In addition, endometriosis localized to the canal of Nuck is exceedingly rare.Case presentationA 44-year-old Japanese woman presented with a painful mass overlying her right pubis. She underwent surgery to completely excise the mass. During surgery, division of the external oblique aponeurosis revealed a cyst that occupied the inguinal canal and it adhered to the transverse fascia, inguinal ligament, and pubic bone. The cyst was dissected from the round ligament, and the defect in the internal inguinal ring was repaired and reinforced with mesh. On macroscopic examination, the cyst had a heterogeneous fibrous aspect with dark brown inclusions. Microscopic examination revealed that the cyst was tortuous, lined by mesothelial-like cells, and accompanied by partial subcapsular hemorrhage. Endometrium-like tissue was observed in the cystic wall. Immunohistochemical staining for podoplanin confirmed the mesothelial origin of the cyst-lining cells. The epithelial cells and stromal cells were positive for estrogen receptors.ConclusionsIn this case of an endometriosis-associated hydrocele of the canal of Nuck, the mesothelial origin of the cyst-lining cells and endometriosis were confirmed by positive immunohistochemical staining for podoplanin and estrogen receptors, respectively. We determined that hydrocele resection and reinforcement of the anterior inguinal canal wall (if necessary) are appropriate treatments for this condition.

Hydrocele of the canal of Nuck

Abstract Hydrocele of the canal of Nuck is a rare condition in female children caused by a failure of complete obliteration of the canal of Nuck. The canal of Nuck is an abnormal patent pouch of the peritoneum extending anterior to the round ligament of the uterus into the labia majora. Incomplete obliteration of this canal (patent processus vaginalis) can result in either an inguinal hernia or a hydrocele. Here, we report two cases of hydrocele of the canal of Nuck presented within a two-month period. In the first case, incarcerated right-sided inguinal hernia was suspected while the second case was clinically diagnosed as encysted hydrocele of canal of Nuck. Both patients underwent surgical exploration. Hydrocelectomy with high ligation was also performed. One month after the surgery, the first patient showed signs of hydrocele on contralateral side, while the other patient showed no sign of contralateral hydrocele or hernia.

Hydrocele of the canal of Nuck presenting as a sausage-shaped mass

A 23-year-old woman presented with a painless vulval swelling. On physical examination, a soft fluctuant sausage-shaped mass was found, measuring approximately 4 cm, extending from the right inguinal region to...

Hydrocele of canal of Nuck: a rare case report with magnetic resonance finding

Hydrocele of canal of Nuck: a rare case report with magnetic resonance finding

Laparoscopic pediatric inguinal hernia repair: a controlled randomized study

BackgroundInguinal hernia repair is one of the most frequently performed surgical procedure in infants and young children. Laparoscopic hernia repair in infancy and childhood is still debatable. There are many techniques available for laparoscopic hernia repair in pediatrics. The aim of the study is to compare laparoscopic intracorporeal purse-string suture ligation of the hernia defect leaving the sac intact versus disconnection of the hernia sac with intracorporeal suturing of proximal part. Patients and methodsA prospective controlled randomized study of laparoscopic repair of congenital inguinal hernia (CIH) was conducted over a period of 2years and 8months from April 2014 to December 2016. All patients were randomized into two equal groups: Group I (n=66) received intracorporeal purse string suture ligation of the hernia sac at internal inguinal ring [IIR] leaving the sac intact; and Group II (n=66) received disconnection of the hernia sac with intracorporeal suture of proximal part at IIR. Inclusion criteriaMale patient with bilateral CIH, questionable other side, cases of CIH associated with umbilical hernia and parental request. Exclusion criteriaRecurrent cases, complicated cases, hernia of canal of Nuck in females, inguinal hernia with undescended testis, parental refusal. The main outcome measurements were operative time, postoperative hydrocele formation, recurrence rate. ResultsThis study included 132 patients with 157 hernia defects. Their age ranged from 6months to 3years. Statistically significant differences regarding the demographic data of the groups. All cases were completed successfully without conversion. There was no statistically significant difference between groups regarding intraoperative complications and hospital stay. There was statistically significant difference in the operative time and post-operative complications between the studied groups. ConclusionsLaparoscopic inguinal hernia repair by disconnection of the hernia sac at the IIR with peritoneal closure is safe and feasible method. It has a lower recurrence rate than the purse string suturing leaving the sac intact.

Nuck Kanalı Kisti: Ayırıcı Tanıda Düşünülmesi Gereken Bir Olgu

Nuck Kanalı Kisti: Ayırıcı Tanıda Düşünülmesi Gereken Bir Olgu

Canal of Nuck hernia: a multimodality imaging review.

Canal of Nuck abnormalities are a rare but important cause of morbidity in girls, most often those younger than 5years of age. The canal of Nuck, which is the female equivalent of the male processus vaginalis, is a protrusion of parietal peritoneum that extends through the inguinal canal and terminates in the labia majora. The canal typically obliterates early in life, but in some cases the canal can partially or completely fail to close, potentially resulting in a hydrocele or hernia of pelvic contents. Recognition of this entity is especially important in cases of ovarian hernia due to the risk of incarceration and torsion. We aim to increase awareness of this condition by reviewing the embryology, anatomy and diagnosis of canal of Nuck disorders with imaging findings on US, CT and MRI using several cases from a single institution.

Hydroceles—Not Just For Men

BackgroundHydroceles develop in females through the canal of Nuck. This canal is formed when the processes vaginalis fails to obliterate during development. The canal of Nuck can lead to the formation of not only hydroceles, but hernias as well. Although physicians typically think of hydroceles occurring in males, on rare occasions, they do occur in females because of this defect. They are often mistaken for incarcerated hernias, making ultrasound an excellent tool to distinguish between them and guide further treatment. Case ReportWe report a rare case of a 46-year-old female with the chief complaint of a painful groin mass. A diagnosis of a hydrocele was made by point of care ultrasonography in the emergency department after being misdiagnosed by computed tomography scan on two previous occasions. Why Should an Emergency Physician Be Aware of This?Point of care ultrasound (POCUS) is a valuable tool for emergency physicians and can lead to quick diagnoses and appropriate management of the patient. Using ultrasound in conjunction with other imaging modalities can improve diagnostic accuracy. POCUS is portable and a powerful tool for immediate answers, and continues to prove its utility for clinical decision making.

English

English

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

Laparoscopic treatment for hydrocele of the canal of Nuck

Laparoscopic treatment for hydrocele of the canal of Nuck

Laparoscopic Intracorporeal Hydrocelectomy and Posterior Wall Suture Repair of the Hydrocele for the Canal of Nuck

Background: Hydrocele of the canal of Nuck (HCN) causes inguinal swelling in women. This study aimed to evaluate the outcomes of laparoscopic intracorporeal hydrocelectomy and posterior wall suture repair for treating HCN. Methods: We retrospectively reviewed the charts of 56 adult female patients with HCN at Damsoyu Hospital, Seoul, Republic of Korea, from September 2012 to July 2016. Results: Of the 56 patients, encysted hydroceles were observed in 43 (76.8%) and communicating hydroceles were observed in 13 (23.2%). Among the 43 patients with encysted hydroceles, 30 (69.8%) had serous hydroceles, 12 (27.9%) had hemorrhagic hydroceles, and one (2.3%) had an inflammatory hydrocele. Fifteen (28.6%) patients, especially those with hemorrhagic hydroceles (11/12) and one with an inflammatory hydrocele (1/1), complained of inguinal pain (p<0.001). No recurrence was observed during the follow-up period. Conclusion: HCN should be considered during the differential diagnosis of hernia in women with inguinal swelling. The diagnosis was made with preoperative ultrasonography, and laparoscopic intracorporeal hydrocelectomy with posterior wall repair was performed as an effective treatment.

Cyst of the Canal of Nuck Mimicking Inguinal Hernia: A Case Report

A 22-year-old female patient was referred to our department by general surgeon for a suspected left-sided inguinal hernia. She had a painful tender mass in her left groin. On physical examination, there was a palpable mass in the region of her left inguinal canal. US and pelvic CT examination were performed. Sonographic examination, revealed a well-defined cystic mass with internal septae and thin wall, located in the left inguinal canal extending along the course of the round ligament. On CT images, there was a thin-walled cystic mass in the left inguinal canal and intraabdominal extension of the canal of Nuck. Diagnosis of cyst of the canal of Nuck was confirmed by surgery and subsequent histopathologic evaluation. Hydrocele of the canal of Nuck is a rarely encountered entity. It should be on the differential diagnosis list of groin swellings in female patients. Radiologists must be aware of the imaging findings of hydrocele of the canal of Nuck to diagnose this entity before surgery.