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Case Reports
. 2023 Oct 18;16(10):e255970.
doi: 10.1136/bcr-2023-255970.

Hydrocele and endometriosis of the canal of Nuck in two adults: a look at the imaging features

Anmol Singh  1 , Ekta Chauhan  2 , Amrita Kalantri  2 , Sanjay Gupta  3
Affiliations
Case Reports

Hydrocele and endometriosis of the canal of Nuck in two adults: a look at the imaging features

Anmol Singh et al. BMJ Case Rep. .

Abstract

We present a report of two adult females who presented to the surgery clinic at different time frames in our hospital with a swelling in the inguinal region. The swelling was painful for one of our patients. The first patient was evaluated with a contrast-enhanced CT and an MRI, while the second patient underwent a ultrasonography and an MRI. Imaging revealed the structure to be cystic in nature and confirmed the diagnosis as a hydrocele of the canal of Nuck in both patients. Our second patient was also found to have concomitant endometriosis, with internal septations seen in the hydrocele. Aspiration revealed altered blood with haemosiderin deposition, which established a diagnosis of endometriosis of the canal of Nuck. The first patient underwent excision, while the second patient refused a surgical approach and opted for medical management for endometriosis.

Keywords: General surgery; Obstetrics and gynaecology; Radiology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Axial contrast-enhanced CT abdomen image showing a well-defined, ovoid and non-enhancing cystic structure in the right inguinal region (white arrow).
Figure 2
Figure 2
Axial T2-weighted image of the pelvis shows a well-defined T2 hyperintense cystic lesion in the subcutaneous plane in the right inguinal region (white solid arrow) lying anterior to the round ligament (black arrow) with no communication with the peritoneal cavity.
Figure 3
Figure 3
Ultrasonographic image of the right inguinal region shows a well-defined bilobed cystic lesion (white arrows) with a constricting waist. No change was observed in the Valsalva manoeuvre.
Figure 4
Figure 4
Axial T2-weighted image of MRI shows a well-defined T2 hyperintense cystic lesion in the right inguinal region which extends across the superficial inguinal ring (white arrows). A few thin partial septations are also seen.
Figure 5
Figure 5
Axial T2-weighted image of MRI shows multiple variable signal intensity lesions in the bilateral ovaries (white thin arrows). A fluid fluid level is also seen on the left side (endometrioma).
See this image and copyright information in PMC

References

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