Presentation
Recurrent tender swelling of left groin. Heart transplant at age 14 for Holt-Oram Syndrome.
Patient Data
Age: 45 years
From the case:
Canal of Nuck hydrocele
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Sagittal non-contrast

Cystic swelling in the left inguinal canal appears to communicate with the round ligament.
From the case:
Canal of Nuck hydrocele
Frontal

Heart transplant follow-up.
Hypoplastic hooked clavicles.
Case Discussion
Holt-Oram syndrome is associated with defects in the interatrial and interventricular septa, aortic coarctation and upper limb anomalies as well as hypoplastic and deformed clavicles.
Hydrocele of the canal of Nuck is rare and is not a recognized association of Holt-Oram syndrome.