Hernia : the journal of hernias and abdominal wall surgery · 2026
Hydrocele of the canal of nuck: a case series and literature review.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
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Co Christopher, Wijerathne Sujith, Dacaynos Leonil, Malik Sajid, Loh Clement, Lee Sean, Lomanto Davide
Аннотация
INTRODUCTION: Hydrocele of the Canal of Nuck is a rare differential for a groin lump in females. It has a heterogeneity of presentations clinically: majority are associated with a groin hernia and most cases are incidentally discovered during pre-operative imaging for groin lumps in females.
AIM: The purpose of this study is to discuss the clinical, radiological, histopathological findings, and the surgical treatment of this disease, with reference to prior published literature.
METHOD: We report our experience on cases of hydroceles of the Canal of Nuck in female adults, treated at our hernia centre with open and laparoscopic approaches from 2013 to 2026. A literature review was performed to compare our experiences with previously reported cases.
RESULTS: We reported 31 patients with hydrocele of Canal of Nuck. Twenty seven patients had pre-operative imaging with Ultrasound, Computed Tomography or Magnetic Resonance Imaging, which demonstrated the Canal of Nuck. The other four patients were incidental diagnoses made intra-operatively during inguinal hernia repair. All patients who had surgery with extra-peritoneal approach had concurrent indirect inguinal hernia which were repaired with a mesh in addition to the excision of the cyst. In two cases, multiple cysts were noted along the round ligament. All patients recovered well after surgery, with one having a seroma which resolved in 1 month. No complications or recurrence up to a minimum follow-up duration of 6 months.
CONCLUSION: Hydrocele of Canal of Nuck is a rare condition. The differential diagnosis often includes more common causes of inguinal hernia. Most patients have associated indirect inguinal hernia or occult hernia, therefore an extra-peritoneal approach during exploration and excision of the cyst with concurrent mesh repair of the inguinal hernia is advisable to avoid future complications.
AIM: The purpose of this study is to discuss the clinical, radiological, histopathological findings, and the surgical treatment of this disease, with reference to prior published literature.
METHOD: We report our experience on cases of hydroceles of the Canal of Nuck in female adults, treated at our hernia centre with open and laparoscopic approaches from 2013 to 2026. A literature review was performed to compare our experiences with previously reported cases.
RESULTS: We reported 31 patients with hydrocele of Canal of Nuck. Twenty seven patients had pre-operative imaging with Ultrasound, Computed Tomography or Magnetic Resonance Imaging, which demonstrated the Canal of Nuck. The other four patients were incidental diagnoses made intra-operatively during inguinal hernia repair. All patients who had surgery with extra-peritoneal approach had concurrent indirect inguinal hernia which were repaired with a mesh in addition to the excision of the cyst. In two cases, multiple cysts were noted along the round ligament. All patients recovered well after surgery, with one having a seroma which resolved in 1 month. No complications or recurrence up to a minimum follow-up duration of 6 months.
CONCLUSION: Hydrocele of Canal of Nuck is a rare condition. The differential diagnosis often includes more common causes of inguinal hernia. Most patients have associated indirect inguinal hernia or occult hernia, therefore an extra-peritoneal approach during exploration and excision of the cyst with concurrent mesh repair of the inguinal hernia is advisable to avoid future complications.