Akkoyun Ibrahim, Kucukosmanoglu Ilknur, Yalinkilinc Ertugrul
Department of Pediatric Surgery, Dr. Faruk Sukan Maternity, Children Hospital, Konya, Turkey.
N Am J Med Sci. 2013 Jun;5(6):353-6. doi: 10.4103/1947-2714.114166.
Cyst of the canal of Nuck is a rare cause of inguinal swelling in female infants and children.
The purpose of this study is to discuss the clinical, radiological, and histopathological findings, differential diagnosis, and surgical treatment of this disease in the light of our experience.
This study was conducted in six children who were operated on with cyst of the canal of Nuck at the pediatric surgery clinic in July 1998-March 2013. All information was collected from patient's files and computer records retrospectively.
Patients were between the ages of 1 and 12 years. Size of the cysts has varied between 23 mm and 55.2 mm. In all cases, cyst was on the right side. In physical examination while five cases had palpable, well-circumscribed, mobile and painless mass, in one case the mass was immobile. In one patient, the mass was reducible; in the other 5 patients the mass was non-reducible. First patient was operated immediately with the early diagnosis of incarcerated inguinal hernia, the second one was operated under elective conditions with early diagnosis of inguinal hernia and it was diagnosed during operation, and in the last 4 patients pre-operative true diagnosis was possible.
As clinical findings of the cyst of the canal of Nuck are variable, pre-operative true diagnosis can only be related to increasing experience.
努克管囊肿是女性婴幼儿腹股沟肿胀的罕见原因。
本研究旨在根据我们的经验，探讨该疾病的临床、放射学和组织病理学表现、鉴别诊断及手术治疗。
本研究纳入了1998年7月至2013年3月在小儿外科门诊接受努克管囊肿手术的6例患儿。所有信息均通过回顾性研究从患者病历和计算机记录中收集。
患者年龄在1至12岁之间。囊肿大小在23毫米至55.2毫米之间。所有病例中，囊肿均位于右侧。体格检查时，5例可触及边界清晰、活动且无痛的肿块，1例肿块固定不动。1例患者的肿块可还纳；其他5例患者的肿块不可还纳。第1例患者因早期诊断为嵌顿性腹股沟疝而立即接受手术，第2例因早期诊断为腹股沟疝且在手术中确诊而在择期条件下接受手术，后4例患者术前得以确诊。
由于努克管囊肿的临床表现各异，术前准确诊断只能依靠经验的积累。
