Nuck运河的缺陷是女性生殖器的罕见异常,通常在年轻时检测和修复。在本报告中,描述了一名40岁女性患者的Nuck囊肿病例。此外,系统回顾了有关Nuck运河鞘膜积液女性病例的最新文献。共16例报告16例Nuck鞘膜积液患者(平均年龄35.18岁),到目前为止已经有报道。13例患者(81.3%)注意到右侧腹股沟肿块,而3例患者注意到左侧肿块。手术入路开放13例,腹腔镜3例。2例患者行房水切除术和腹股沟环结扎术,而在7例中,进行了简单的膀胱切除术。在2例中,将圆形韧带与鞘膜积液一起切除。在这两个中的一个中,发现了韧带圆形坏死和Nuck管出血性囊肿的存在。5例患者行疝修补术和积水切除术。努克运河的囊肿相对罕见,但在诊断女性患者腹股沟肿块时应考虑。
Defects in the Canal of Nuck are rare abnormalities of the female genitalia, which are typically detected and repaired in young age. In the present report, a case of a Nuck cyst in a 40-year old female patient is described. Additionally, the current literature concerning cases of women with hydrocele of Nuck canal was systematically reviewed. A total of 16 case reports of 16 patients with Nuck hydrocele (mean age of 35.18 years), have been reported to date. A right inguinal mass was noted in 13 patients (81.3%) whereas in 3 patients a left-sided mass was noted. The surgical approach was open in 13 cases and laparoscopic in 3 cases. Two cases underwent hydrocelectomy and inguinal ring ligation, whereas in 7 cases a simple cystectomy was performed. In 2 cases the round ligament was excised along with the hydrocele. In one of these 2, ligamentum rotundum necrosis and presence of a haemorrhagic cyst of the canal of Nuck were identified. Hernia repair and hydrocelectomy was performed in 5 cases. A cyst of the Canal of Nuck is relatively rare, but should be considered during the diagnosis of inguinal masses in female patients.