08.02.2022 | Images in Surgery
Bilateral Hydrocele of Canal of Nuck in Adult Females
verfasst von:
Devi Shanker Malik, B. S. Dhakad
Erschienen in:
Indian Journal of Surgery
|
Ausgabe 6/2022
Einloggen, um Zugang zu erhalten
Abstract
Bilateral hydrocele of canal of Nuck in adult females is exceptionally rare. The canal of Nuck is the portion of processus vaginalis in the inguinal canal in women. This is homologous to the processus vaginalis of male anatomy. Although the canal of Nuck normally disappears without a trace in the first year of life but if it remains patent, then it can lead to the development of indirect inguinal her-nia or hydrocele of the canal of Nuck. The cyst formation or the fluid in the hydrocele of the canal of Nuck is likely due to imbalance of the secretion and absorption of the secretary membrane lining the processus vaginalis. Hydrocele of the canal of Nuck must be distinguished from inguinal hernia, tumors like lipoma, sarcoma, leiomyoma, cyst, abscess, and lymph nodal swellings. Ultrasonography is the preferred investigation but usually magnetic resonance imaging (MRI) has to be done to confirm the diagnosis preoperatively. Although the final diagnosis has to be made during surgery and later confirmed by the histopathological examina-tion. The treatment remains the excision of hydrocele of the canal of Nuck which can be done both laparoscopically as well as bybopen surgical method. A case of bilateral hydrocele of the canal of Nuck in adult female is presented here which was treated by laparoscopic surgery with mesh repair just like in transabdominal preperitoneal repair of inguinal hernia. The diagnosis was later confirmed by histopathology.