![]() Incidence was progressively less common with age. The review identified a total of 105 cases dating back to the 1890s. Data on presenting symptoms, workup, and treatment were analyzed. We performed a systematic review of the literature to identify reports of canal of Nuck hydroceles in females age 13 years and below. We present the case of a 12-month-old girl with a right inguinal mass representing a hydrocele of the canal of Nuck and review the reported cases in the literature to characterize the typical presentation of this uncommon pathology. The canal of Nuck describes a rare defect of the female inguinal canal that predisposes to the development of hernias or hydroceles. Online supplemental material is available for this article. US is the ideal modality for evaluating an inguinal lump in girls and female infants. Moreover, other rare pathologic conditions involving the inguinal area may be depicted at US, which helps guide appropriate treatment. US can also depict a cyst or hydrocele of the canal of Nuck and its complications. In such cases, it is crucial to screen for US signs suggestive of ovarian ischemic damage, thereby calling for urgent surgery. Incarcerated hernias are common in girls and mostly contain an ovary. The radiologist must be aware of the various types of hernial content depending on the patient's age, including intestinal, omental, ovarian, or tubouterine hernia, and the US features of each. An optimal age-adjusted US technique-including examinations at rest and during straining-is essential to help assess the canal of Nuck, diagnose a hernia, and analyze its content. Radiologists should gain a full understanding of the embryology and US anatomy of the inguinal canal before assessing this entity for the first time. The main pathologic conditions are related to the failure of obliteration of the canal of Nuck. She was treated with removal of the cystic component of the bilateral canal and tissue repair of the left indirect inguinal hernia.Ī groin lump is not an uncommon condition in girls and female infants, and US plays a fundamental role in its exploration. Intraoperatively, polycystic swelling with serous content was observed along with associated indirect inguinal hernia containing omentum on the left side. We present a rare case of a 25-year-old woman who presented with bilateral inguinolabial swelling, clinically diagnosed as bilateral irreducible inguinal hernia. Definitive treatment includes open/laparoscopic excision of the cyst with high ligation of the neck up to the peritoneal pouch, along with repair of the inguinal hernia, if present. Ultrasonography of the abdomen and pelvis and magnetic resonance imaging provide the diagnosis, if these imaging modalities are available however, definite diagnosis may only be made during surgery. It usually presents with painless inguinal unilateral or bilateral swellings, and is sometimes associated with features of intestinal obstruction if the hernia becomes incarcerated or obstructed. Hydrocele may be seen, along with associated inguinal hernia. It occurs due to the failure of obliteration of the processus vaginalis, which is the extension of the parietal peritoneum. Women who have this condition have a slightly higher chance of miscarriage.Hydrocele of the canal of Nuck is one of the rarest clinical entities in the female population. The ultrasound can find this problem when women are not bleeding from their vagina. Some women don't have symptoms of bleeding. Subchorionic hemorrhage.Īn ultrasound can show bleeding under one of the membranes that surrounds the fetus. A long bone (humerus or femur) that is shorter than average could be a sign of Down syndrome. The ultrasound measures certain arm and leg bones. If there is more fluid than expected, there is a chance of urinary tract or kidney problems. The ultrasound measures the fluid around the kidney. Your doctor may take a closer look at the brain. Ventricles in the brain look larger than they should. The doctor will look for a reason for the level of amniotic fluid and will watch the pregnancy closely as it progresses. An increase in thickness is sometimes an early sign of Down syndrome. The ultrasound measures the thickness at the back of the baby's neck. Or it could mean that something is blocking the small bowel. This could mean that there's blood in the bowel. The bowel looks very bright on the screen. Some of the things your doctor may see on an abnormal ultrasound include: Echogenic bowel.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |