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. 2013 Jun;5(6):353-6.
doi: 10.4103/1947-2714.114166.

Cyst of the canal of nuck in pediatric patients

Ibrahim Akkoyun  1 , Ilknur Kucukosmanoglu, Ertugrul Yalinkilinc
Affiliations

Cyst of the canal of nuck in pediatric patients

Ibrahim Akkoyun et al. N Am J Med Sci. 2013 Jun.

Abstract

Background: Cyst of the canal of Nuck is a rare cause of inguinal swelling in female infants and children.

Aim: The purpose of this study is to discuss the clinical, radiological, and histopathological findings, differential diagnosis, and surgical treatment of this disease in the light of our experience.

Materials and methods: This study was conducted in six children who were operated on with cyst of the canal of Nuck at the pediatric surgery clinic in July 1998-March 2013. All information was collected from patient's files and computer records retrospectively.

Results: Patients were between the ages of 1 and 12 years. Size of the cysts has varied between 23 mm and 55.2 mm. In all cases, cyst was on the right side. In physical examination while five cases had palpable, well-circumscribed, mobile and painless mass, in one case the mass was immobile. In one patient, the mass was reducible; in the other 5 patients the mass was non-reducible. First patient was operated immediately with the early diagnosis of incarcerated inguinal hernia, the second one was operated under elective conditions with early diagnosis of inguinal hernia and it was diagnosed during operation, and in the last 4 patients pre-operative true diagnosis was possible.

Conclusions: As clinical findings of the cyst of the canal of Nuck are variable, pre-operative true diagnosis can only be related to increasing experience.

Keywords: Canal of Nuck; Cyst; Female hydrocele; Hydrocele; Inguinal swelling.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Large nuck canal cyst filling all inguinal canal and causing swelling in vulva
Figure 2
Figure 2
(a) Intraoperative view of cyst with communicated to peritoneum. (b) Intraoperative view of well-circumscribed and non-communicated nuck canal cyst with obliterated processus vaginalis
Figure 3
Figure 3
In ultrasonography of inguinal region, in inguinal canal well-circumscribed, homogenous anechoic cyst having size of 44.9 mm × 22.2 mm was observed
Figure 4
Figure 4
(a) Cyst wall consisted of vascularized fibrosis tissue, ×100 expansion, H and E coloring (b) Mesothelial cells covering inner surface, ×200 expansion, H and E coloring
See this image and copyright information in PMC

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