A cautionary approach to adult female groin swelling: hydrocoele of the canal of Nuck with a review of the literature

Patnam, Varun; Narayanan, Ramakrishna; Kudva, Adarsh

doi:10.1136/bcr-2015-212547

Cited by 19 publications

(37 citation statements)

References 12 publications

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“…2,4,10,14 Among the cases reported as cysts of Nuck’s canal, most patients were also middle-aged. 6,8,11–14 These data together with ours suggest that MCURLs occur mostly in middle-aged women. In our series, 64.7% (11/17) of the patients had an MCURL on the right side, which is in line with the findings of other studies showing right-side dominance in MCURL occurrence.…”

Section: Discussionsupporting

confidence: 75%

Resection of mesothelial cyst of uterine round ligament by laparoscopic transabdominal preperitoneal procedure alone or combined with open surgery

Chen

Zhang²,

Zhang

et al. 2019

J Int Med Res

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Objective: Surgical treatment of a mesothelial cyst of the uterine round ligament (MCURL), an uncommon entity, has been rarely documented. In this article, we present our experience with excision of MCURLs. Methods: The records of all female patients undergoing surgical removal of a groin mass in our department from March 2013 to November 2018 were retrospectively reviewed. Demographic information, clinical data, and follow-up outcomes were collected and analyzed. Results: Among 298 women who underwent groin hernia repair, 17 (5.7%) had MCURLs. Of these 17 patients, 13 were aged 30 to 45 years and 15 had a normal body mass index (18.5-23.9 kg/m 2 ). MCURLs occurred predominantly on the right side (11/17). Approximately half of the patients (9/17) were preoperatively misdiagnosed with inguinal hernias. Approximately 70% (12/17) of the lesions were localized medially to the inner ring of the inguinal canal and excised by a laparoscopic transabdominal preperitoneal (TAPP) procedure alone. Five patients required open surgery following the TAPP procedure because the cyst extended distally beyond the inner ring. No recurrence was noted during the entire follow-up period. Conclusion: Most MCURLs were localized medially to the inner ring of the inguinal canal and could be excised by a TAPP procedure.

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Section: Discussionsupporting

confidence: 75%

Resection of mesothelial cyst of uterine round ligament by laparoscopic transabdominal preperitoneal procedure alone or combined with open surgery

Chen

Zhang²,

Zhang

et al. 2019

J Int Med Res

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“…Some authors have reported that the prevalence of inguinal swelling in pediatric patients is <1% [7]. However, few studies on the prevalence of HCN in adult patients have been reported [8,9]. According to our data, among 174 adult patients with inguinal swelling, 56 (32.2%) had HCN, which is a much higher prevalence than that reported in the current literature [6,8].…”

Section: Discussioncontrasting

confidence: 55%

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

Park¹,

Lee²

2017

J Clin Case Rep

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“…Cardinal ultrasonographic signs include a homogenous, cystic, superficial mass which does not change with Valsalva manoeuvre. 15 17 18 …”

Section: Discussionmentioning

confidence: 99%

Rare encounter: hydrocoele of canal of Nuck in a Scottish rural hospital during the COVID-19 pandemic

Scott

Helmy

2020

BMJ Case Rep

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We report the case of a 32-year-old woman who presented with reducible indirect inguinal hernia and a challenging constellation of symptoms, signs and radiographic findings. Surgical approach superseded conservative management when the patient’s abdomen became acute, with a rising lactate and haemodynamic instability. Specifically, the presence of a fluid collection was concerning for sinister acute pathology. Our patient was rediagnosed intraoperatively with hydrocoele of canal of Nuck. This so-called ‘female hydrocoele’ is an eponymous anatomical rarity in general surgery, presenting as an inguinolabial swelling with variable clinical profile. Hydrocoele of canal of Nuck takes origin from failure of transitory reproductive anlagen to regress and is thus analogous to patent processus vaginalis. Its true incidence is speculative, with just several hundred cases globally. We aim to provide insights into surgical patient management for a rare entity during the COVID-19 outbreak, from the unique perspective of a small rural hospital in Scotland.

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A cautionary approach to adult female groin swelling: hydrocoele of the canal of Nuck with a review of the literature

Cited by 19 publications

References 12 publications

Resection of mesothelial cyst of uterine round ligament by laparoscopic transabdominal preperitoneal procedure alone or combined with open surgery

Resection of mesothelial cyst of uterine round ligament by laparoscopic transabdominal preperitoneal procedure alone or combined with open surgery

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

Rare encounter: hydrocoele of canal of Nuck in a Scottish rural hospital during the COVID-19 pandemic

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