Canal of Nuck hernias

Abstract

The canal of Nuck, caused by the failed closure of the processus vaginalis in the female, is the continued outpouching of parietal peritoneum through the inguinal canal to the labia majora. Disorders of the canal of Nuck include hernia and hydrocele. Some canal of Nuck hernias, especially of the ovary, may result in emergent complications such as incarceration, strangulation, and ovarian torsion. Knowledge of canal of Nuck disorders and prompt diagnosis are important to avoid serious complications. Imaging, especially ultrasound, is essential for timely diagnosis, leading to appropriate management and better patient care.

Herniation of the uterus, ovaries and fallopian tubes into the canal of Nuck in a 4-month-old child: A rare entity

“…There have been only nine reported cases of herniation of the uterus with only three reported cases of herniation of both adnexa. 8 Interestingly, all the cases with bilateral herniation have been reported to be on the left side, including our case study. The etiopathogenesis of herniation of the uterus is not clear.…”

Laparoscopic assisted hydrocelectomy of the canal of Nuck: a case report

“…Additionally, part of the HCN may contain endometrial tissue, causing periodic swelling during menstruation [ 3 , 12 ]. Due to these potential complications, timely diagnosis and prompt treatment of HCN is critical [ 8 ].…”

“…The traditional treatment method is to completely remove the hydrocele through an open anterior approach surgery [ 4 , 5 ]. Although there are recent reports of cases of laparoscopic surgery, the anatomical location of the inguinal canal is deep, and it is also a challenge to strip the distal end of hydrocele through an inguinal canal [ 6 – 8 ]. Therefore, accurate diagnoses and removal of HNC quickly and completely remain a common problem faced by surgeons [ 9 ].…”

Hydrocele of the Canal of Nuck: A Review

“…When ultrasonography is inconclusive, an MRI is used to obtain additional information about the herniated structures [ 2 , 17 ]. There is no radiation associated with this imaging modality.…”