Derinkuyu Betül Emine, Affrancheh Mohammad Reza, Sönmez Didem, Koloğlu Meltem Bingöl, Fitoz Suat
Department of Radiology, Ankara University School of Medicine, Ankara, Turkey.
Department of Pediatric Surgery, Ankara University School of Medicine, Ankara, Turkey.
Balkan Med J. 2016 Sep;33(5):566-568. doi: 10.5152/balkanmedj.2016.150643. Epub 2016 Sep 1.
The canal of Nuck is a fold of peritoneum that invaginates into the inguinal canal and closes at or just before birth. If the canal of Nuck remains open in female infants, herniation of the uterus, adnexa and/or bowel loops may arise through the inguinal canal into the labia majora.
The present case is a 12-week-old female infant with complaints of left groin swelling and discomfort. Ultrasonographic examination revealed a left inguinal hernia containing both adnexa (ovaries and fallopian tubes), uterus and small bowel loops with fluid.
A hernia containing ovary and uterus should be considered as a possible cause in a female infant with a groin mass. Ultrasonography of the inguinal mass lesions should be performed routinely in a female infant for accurate diagnosis.
Nuck管是腹膜的一个褶皱，它向内陷入腹股沟管并在出生时或出生前闭合。如果Nuck管在女婴中保持开放，子宫、附件和/或肠袢可能通过腹股沟管疝入大阴唇。
本病例为一名12周大的女婴，主诉左腹股沟肿胀和不适。超声检查显示左侧腹股沟疝，内容物包括附件（卵巢和输卵管）、子宫和带有液体的小肠袢。
对于有腹股沟肿块的女婴，应考虑含有卵巢和子宫的疝为可能病因。应常规对女婴腹股沟肿块病变进行超声检查以获得准确诊断。
