关键词: Canal of Nuck Case report Hernia Hydrocele

Mesh : Female Male Pregnancy Humans Adult Hernia, Inguinal / complications diagnostic imaging surgery Groin Patient Discharge Physical Examination Postoperative Complications

来  源:   DOI:10.1186/s13256-023-04099-2   PDF(Pubmed)

Abstract:
BACKGROUND: Hydroceles of the canal of Nuck are rare, and have not been described in relation to pregnancy.
METHODS: A 34-year-old Caucasian female patient had bilateral groin swelling debuted during her pregnancy. A preoperative magnetic resonance imaging scan found bilateral hydroceles of the canal of Nuck. Operative findings and histological examinations revealed a left-sided inguinal hernia and a right-sided hydrocele. The patient was discharged well and without signs of postoperative complications or hernia recurrence.
CONCLUSIONS: In this case, a hydrocele and a hernia sac were morphologically identical in terms of preoperative appearance and development. Given the morphological correlation, it was surprising to find different operative findings confirmed by the histopathological examination.
CONCLUSIONS: This is the first ever report of the synchronic development of two morphologically identical cystic processes, with one being a hydrocele and the other a hernia sac. In addition, the hydrocele developed during pregnancy, making this case even more unique.
摘要:
背景:纳克运河的鞘膜积液很少见,并没有描述与怀孕有关。
方法:一名34岁的白人女性患者在怀孕期间出现双侧腹股沟肿胀。术前磁共振成像扫描发现Nuck管的双侧鞘膜积液。手术发现和组织学检查显示左侧腹股沟疝和右侧鞘膜积液。患者出院良好,没有术后并发症或疝气复发的迹象。
结论:在这种情况下,就术前外观和发育而言,鞘膜积液和疝囊在形态上相同。鉴于形态相关性,令人惊讶的是,发现组织病理学检查证实了不同的手术发现。
结论:这是关于两个形态相同的囊性过程同步发展的第一份报告,一个是鞘膜积液,另一个是疝囊。此外,在怀孕期间发育的鞘膜积液,让这个案子更加独特。
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