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A Rare Case of a Young Girl With Hydrocele of the Canal of Nuck Mimicking Inguinal Hernia: A Case Report

In plain language

Hydrocele of the canal of Nuck is an uncommon female condition that occurs when the processus vaginalis fails to obliterate properly. A thirteen-year-old girl presented with swelling in the left inguino-labial region, which was initially misdiagnosed through ultrasound imaging. Subsequent surgical exploration revealed a type I hydrocele of the canal of Nuck rather than an inguinal hernia. The patient was treated by completely excising the hydrocele and ligating the canal at the deep inguinal ring. This clinical report demonstrates the need for healthcare providers to evaluate hydrocele of the canal of Nuck as an essential differential diagnosis whenever investigating female inguinal swellings, particularly when initial imaging may suggest other, more frequent conditions.

Key takeaways

  • Hydrocele of the canal of Nuck is a rare female condition caused by the failure of the processus vaginalis to obliterate.
  • A thirteen-year-old female patient presented with left inguino-labial swelling that was initially misdiagnosed via ultrasound.
  • Surgical exploration identified the condition as a type I hydrocele, which was resolved through complete excision and ligation of the canal at the deep inguinal ring.
  • The condition represents an important differential diagnosis for female patients presenting with inguinal swellings.

Why it matters

Swellings in the female groin area are frequently mistaken for standard inguinal hernias. Because ultrasound scans can fail to identify rarer conditions like a hydrocele of the canal of Nuck, increasing clinical awareness of this disorder helps ensure accurate diagnostic assessments, guides surgeons toward the correct operative techniques, and prevents inappropriate management in young female patients.

Commercialisation angle

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Abstract

A rare disorder in females called hydrocele of the canal of Nuck is brought on by the processus vaginalis failing to obliterate. We describe a 13-year-old girl who developed a type I hydrocele of the canal of Nuck after presenting with left inguino-labial swelling. Despite misdiagnosis by ultrasound, surgical exploration verified the diagnosis. The hydrocele was completely excised, and the canal at the deep inguinal ring was ligated. The significance of taking this uncommon case into account while making a differential diagnosis for female inguinal swellings is highlighted by this instance.

Research topics

  • Hernia repair and management
  • Testicular diseases and treatments
  • Spinal Dysraphism and Malformations

Read the original research

This page summarises published work. The authoritative version sits with the publisher.

DOI: 10.1002/ccr3.70987

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