Hydrocoele of the canal of Nuck

Case contributed by Dr Erik Ranschaert

Presentation

3-year old girl with painful palpable mass in the left inguinal region and reddish swelling of the labium majus.

Patient Data

Age: 3
Gender: Female
MRI

Check the description in each sequence. 

Case Discussion

Infected hydrocoele of the canal of Nuck. A hydrocoele is the result of a failed obliteration of the inguinal part of the processus vaginalis (so-called canal of Nuck) resulting in hydrocoele.

The surgeon decided to treat conservatively with antibiotics, and the swelling gradually decreased. Follow-up after 1 year showed complete resorption of the hydrocoele.

Infection (abcedation) of the hydrocoele is most likely the explanation of the wall thickening and wall enhancement in this case; in most cases hydrocoeles are reported to have a thin wall. The hydrocoele doesn't look purely cystic on the T2-images, this might be due to some intraluminal débris caused by the infection.

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Case information

rID: 11073
Case created: 14th Oct 2010
Last edited: 6th Oct 2015
Inclusion in quiz mode: Included

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