Ferreira Ana Filipa, Marques João Paulo, Falcão Francisco
Gynecology, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal.
Medical School, University of Coimbra, Coimbra, Portugal.
BMJ Case Rep. 2017 Oct 4;2017:bcr-2017-221024. doi: 10.1136/bcr-2017-221024.
A 23-year-old woman presented with a painless vulval swelling. On physical examination, a soft fluctuant sausage-shaped mass was found, measuring approximately 4 cm, extending from the right inguinal region to the labia majora. Ultrasound revealed a well-defined hypoechoic elongated mass, septated, extending from the superficial inguinal canal to labia majora. Sonographic findings were consistent with the diagnosis of a hydrocele of the canal of Nuck. Surgical exploration revealed an elongated cystic lesion with a total length of 13 cm, mucous component and internal septations. Histopathological examination of the surgical specimen confirmed the suspected diagnosis.
一名23岁女性因无痛性外阴肿胀就诊。体格检查发现一个柔软、波动的腊肠样肿物,大小约4厘米,从右侧腹股沟区延伸至大阴唇。超声显示一个边界清晰的低回声长条状肿物,有分隔,从腹股沟浅环延伸至大阴唇。超声检查结果符合努克管水囊肿的诊断。手术探查发现一个总长度为13厘米的细长囊性病变,有黏液成分和内部间隔。手术标本的组织病理学检查证实了疑似诊断。