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Bilateral Hydrocele of the Canal of Nuck: A Rare Presentation in an Adult Female

Authors Baral S, Bajracharya P, Thapa N, Chhetri RK

Received 28 April 2020

Accepted for publication 13 July 2020

Published 31 July 2020 Volume 2020:13 Pages 313—316


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Ronald Prineas

Video abstract presented by Suman Baral.

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Suman Baral, Pujan Bajracharya, Neeraj Thapa, Raj Kumar Chhetri

Department of Surgery, Lumbini Medical College and Teaching Hospital, Palpa, Tansen, Nepal

Correspondence: Suman Baral Department of Surgery
Lumbini Medical College and Teaching Hospital Ltd, Tansen-07, Pravas, Palpa, Nepal
Tel +977-75-411201
Fax +977-75-411202

Abstract: Hydrocele of the canal of Nuck is one of the rarest clinical entities in the female population. It occurs due to the failure of obliteration of the processus vaginalis, which is the extension of the parietal peritoneum. Hydrocele may be seen, along with associated inguinal hernia. It usually presents with painless inguinal unilateral or bilateral swellings, and is sometimes associated with features of intestinal obstruction if the hernia becomes incarcerated or obstructed. Ultrasonography of the abdomen and pelvis and magnetic resonance imaging provide the diagnosis, if these imaging modalities are available; however, definite diagnosis may only be made during surgery. Definitive treatment includes open/laparoscopic excision of the cyst with high ligation of the neck up to the peritoneal pouch, along with repair of the inguinal hernia, if present. We present a rare case of a 25-year-old woman who presented with bilateral inguinolabial swelling, clinically diagnosed as bilateral irreducible inguinal hernia. Intraoperatively, polycystic swelling with serous content was observed along with associated indirect inguinal hernia containing omentum on the left side. She was treated with removal of the cystic component of the bilateral canal and tissue repair of the left indirect inguinal hernia.

Keywords: hernia, hydrocele, Nuck, processus vaginalis

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