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      Encysted Hydrocele of Canal of Nuck: A Case Report With Review of Literature

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          Abstract

          The canal of Nuck is analogous to a patent processus vaginalis in a male, which normally loses its communication to the peritoneal cavity within the first year of life. Failure of obliteration of this tract can result in a hydrocele. We present a rare case of a 3-year-old girl with right-sided groin swelling over a year, diagnosed as hydrocele of canal of Nuck. Patient underwent surgical exploration and excision of hydrocelea. This entity should be considered in young females presenting with an inguinal swelling.

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          HYDROCELE OF THE CANAL OF NUCK: REPORT OF SEVENTEEN CASES.

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            Hydrocele of the canal of Nuck in a girl: ultrasound and MR appearance.

            Hydrocele of the canal of Nuck is a rare condition in females. A small evagination of parietal peritoneum forms the canal of Nuck. Failure of complete obliteration of the canal results in either an indirect inguinal hernia or a hydrocele of the canal of Nuck. We present a case in a 7-year-old girl. On ultrasound, there was a comma-shaped cyst with the tail directed cranially toward the inguinal canal. The cyst had no internal echoes and demonstrated increased through transmission. Coronal and axial MR showed a thin walled cystic mass.
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              Cystic lymphangioma with special reference to rare sites.

              A 10 year retrospective study of 45 cases of cystic lymphangioma (CL) in children is presented. There were 25 females and 20 males. Age ranged from 6 months to 8 years. Common sites were involved in 38 and rare sites in 7 patients. Rare sites were--gluteal region (1), pelvis (1), retroperitoneum (1), mesentery (2), inguinal region (1) and inguinoscrotal region (1). The clinical presentation included sudden increase in size (25), lump abdomen (3), gluteal abscess (1), abdominal distension (1) and inguinal swelling (2). Diagnosis was established preoperatively in 38 cases, and after surgery and histopathology in 7 cases. Near total or subtotal excision was carried out in all cases. Facial nerve palsy (1) and recurrence (2) were the complications of surgery. The study is presented to highlight the occurrence of the cystic lymphangioma at rare sites to avoid diagnostic errors and unnecessary mutilating surgery.
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                Author and article information

                Journal
                J Surg Tech Case Rep
                JSTCR
                Journal of Surgical Technique and Case Report
                Medknow Publications & Media Pvt Ltd (India )
                2006-8808
                0976-2825
                Jul-Dec 2011
                : 3
                : 2
                : 97-98
                Affiliations
                [1] Department of Surgery, Cardinal Glennon Children Hospital, Division of Pediatric Surgery, School of Medicine, Saint Louis University, Saint Louis, USA
                Author notes
                Address for correspondence: Dr. Tarun Kumar, Department of Surgery, Pediatric Surgery, Cardinal Glennon Children Hospital, School of Medicine, Saint Louis University, Saint Louis, Missouri, USA. E-mail: tkumar@ 123456slu.edu
                Article
                JSTCR-3-97
                10.4103/2006-8808.92803
                3296443
                22413054
                8d7a7524-7520-49f0-ba34-64136e2a111b
                Copyright: © Journal of Surgical Technique and Case Report

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Case Report

                Surgery
                canal of nuck,hydrocele,processus vaginalis
                Surgery
                canal of nuck, hydrocele, processus vaginalis

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