Hydrocele of canal of Nuck

Case contributed by Dr Ahmed Samir Mehany

Presentation

Painless right inguinal swelling.

Patient Data

Age: 25 years
Gender: Female
CT

Encysted fluid seen running anterior to the right round ligament of the uterus directed inferomedially towards the labium majus.

Incidentally found small interstitial fibroid.

MRI

T2W fluid signal intensity confirming the location of the cystic lesion anterior to the right round ligament of the uterus.

Case Discussion

Canal of Nuck represents a persistent processus vaginalis in females.

Accumulation of fluid inside the canal causes inguinal swelling running anterior to the round ligament of the uterus.

The process usually presents during childhood as painless inguinal swelling, although sometimes it presents later as in this case.

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Case information

rID: 61201
Published: 25th Jul 2018
Last edited: 26th Jul 2018
Inclusion in quiz mode: Included

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