Canal of Nuck hydrocele in an adult female
A Canal of Nuck cyst, more often called a female hydrocele, is an exceedingly rare complication of an anatomic defect due to a patent processus vaginalis in females. Historically, it has been observed more often in pediatric patients, but with increased awareness, more cases of adult diagnoses have been made. The present paper has been reported in the in the Urology Case Reports.

A 33-year-old female presented with a two-year history of a painful left inguinal mass. The patient noted that the mass changed in size over time and became larger throughout the day or with exercise. There was discomfort in the left groin when she exercised, coughed, or crossed her legs. These symptoms became exceedingly worse over the past two years and have started to affect her quality of life.

The patient denied any previous hernias, lower urinary tract symptoms, or prior urinary tract infections. Her past medical history was significant only for pancreatitis. Genitourinary exam was appreciable for a small, round mass lateral to the left pubic tubercle that was not reducible. No abdominal wall defect was palpable and there were no overlying skin changes.

Computed tomography (CT) of the abdomen and pelvis as well as a trans-vaginal ultrasound (US) were conducted two years prior when she initially became symptomatic. These imaging modalities showed no evidence of a hernia but did show a 1.1 cm fluid collection over the palpable groin mass, which was interpreted as being within the Canal of Nuck.

A repeat US of the groin two years after initial presentation showed a 2.7 × 0.8 × 2.4 cm fluid collection over the palpable left groin mass.

Read more here: https://pxmd.co/Pi1wD
1 share
Like
Comment
Share