Authors: M R Joyce J D Ryan P R O’Connell
Publish Date: 2010/05/25
Volume: 14, Issue: 4, Pages: 451-451
Abstract
Hydrocele of the canal of Nuck is a rare entity Even if the diagnosis is appreciated preoperatively surgical exploration is recommended given the potential for coexistence of an inguinal or femoral hernia Often one may identify only a cyst within the canal of Nuck structure but there is the potential to encounter clinically significant structures and pathology depending on the degree of obliteration of the process vaginalis of the inguinal canal during embryological development Ovary fallopian tube and uterus have been found within the canal of Nuck Thus care must be taken during dissection An inguinal mass with cyclical pain related to menses raises the possibility of endometrial deposits within the canal of Nuck Even if one suspects a peritoneal cyst within a femoral defect we would as per Professor Armstrong recommend exploration and removal which will then facilitate closure of the femoral opening preventing future potential for development of a femoral hernia
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