Hydrocele in the Canal of Nuck

Cyst of the canal of Nuck mimicking inguinal hernia

“…In surgical practice, congenital hydrocele or hernia cases are usually seen in a male child and it is uncommon in females [ 2 ]. The rarity of this finding continues to be described in more current literature of 400 cases [ 3 ]. The cysts seldom exceed3cm in length with a diameter of 0.3*0.5 cm [ 4 ].…”

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

“…A completely patent canal of Nuck may lead to the development of an indirect inguinal hernia in females. 3 There are three types of a hydrocele of canal of Nuck.…”

“…Differential diagnoses for a cystic swelling in female groin include mesothelial cyst of the round ligament, varicosity of the round ligament, cystic lymphangioma, epidermal inclusion cyst, abscess, pseudoaneurysm, and herniation of the ovary. 3 Inguinolabial masses include indirect inguinal hernia, endometriosis of the round ligament, adenopathy, Bartholin's cyst, lipoma, etc. 3 Occasionally, hydrocele of canal of Nuck may present as a painful swelling, in cases where trauma to the swelling leads to hematoma or abscess formation.…”

“…3 Inguinolabial masses include indirect inguinal hernia, endometriosis of the round ligament, adenopathy, Bartholin's cyst, lipoma, etc. 3 Occasionally, hydrocele of canal of Nuck may present as a painful swelling, in cases where trauma to the swelling leads to hematoma or abscess formation. 6 In present case, patient presented with a partially reducible swelling with equivocal findings on cough impulse.…”

“…8 Treatment of a hydrocele of canal of Nuck consists of surgical excision of the cyst with ligation of the neck of processus vaginalis and closure of the fascial defect. 3 There are cases in literature where laparoscopic excision has been attempted but then converted to an open approach, hence direct open surgical excision should be the procedure of choice. 6 Ultrasound guided aspiration of the cyst is a minimally invasive option, but may lead to recurrence or infection of the cyst.…”