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Inguinal hernia, hydrocele, and other hernias of the abdominal wall
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Sophia Abdulhai, Todd A. Ponsky
In girls, the analogous diverticulum of processus through the internal ring was first described by Anton Nuck in 1691 and is referred to as the canal of Nuck. Herniation down to the level of the labia majora and hydrocele formation may also occur, albeit with less frequency than boys (1 : 4).
Inguinal hernia
Published in Prem Puri, Newborn Surgery, 2017
Thambipillai Sri Paran, Prem Puri
Hydrocele of the cord or cyst of canal of Nuck is difficult to differentiate from incarcerated hernia. It may be possible to get above a hydrocoele and is nontender. Transillumination is not a reliable sign in infants, as bowel wall is very thin and is usually transilluminant. However, there will be no preceding history of reducible swelling reported by parents, and the child remains asymptomatic with no obvious signs of discomfort. Ultrasound is helpful in distinguishing this condition from an obstructed hernia.
The abdominal wall, hernias and the umbilicus
Published in Kevin G Burnand, John Black, Steven A Corbett, William EG Thomas, Norman L Browse, Browse’s Introduction to the Symptoms & Signs of Surgical Disease, 2014
Kevin G Burnand, John Black, Steven A Corbett, William EG Thomas, Norman L Browse
There are two conditions of the groin peculiar to females: Hydrocele of the canal of Nuck is a fluid-filled distal sac of an indirect hernia. The proximal part of the sac is too narrow to admit bowel or other abdominal contents. It is analogous to the encysted hydrocele of the cord seen in children. It presents with a smooth, fluctuant swelling without a cough impulse, that will transilluminate.Haematocele of the round ligament is a curious condition in which the round ligament becomes distended with multiple small sacs containing bloodstained fluid. It presents in pregnancy with a soft, sausage-like swelling in the groin extending into the labium. This may have a weak cough impulse and when gently squeezed feels spongy and reduces in size. It is commonly confused with a hernia, but it resolves when the pregnancy is over, which hernias certainly do not.
Image of the month: cyst of the canal of Nuck
Published in Acta Chirurgica Belgica, 2018
Banu Karapolat, Hatice Ayça Ata Korkmaz, Gulgun Kocak, Eser Bulut
Cyst of the canal of Nuck is a rare cause of the swellings occurring in the inguinal area in women. Homologous to the processus vaginalis in men, the canal of Nuck is a pocket-shaped evagination of the parietal peritoneum that follows the same path as the round ligament of the uterus in the inguinal ring. Normally, this canal obliterates at birth or early infant period and loses its connection with the peritoneal cavity, but sometimes it can remain patent. If it remains completely patent, it forms an avenue for an indirect inguinal hernia. Partial proximal obliteration with a patent distal portion causes a cyst of the canal of Nuck, which is also referred to as female hydrocele [1].