腹腔镜手术治疗Nuck管鞘膜积液：一例报告并文献复习
Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review.
作者信息
Wang Liming, Maejima Taku, Fukahori Susumu, Shun Katayose, Yoshikawa Daitaro, Kono Toru
机构信息
Department of Surgery, Sapporo Higashi Tokushukai Hospital, 3-1, N-33, E-14, Higahi-ku, Sapporo, Hokkaido, 0650033, Japan.
出版信息
Surg Case Rep. 2021 May 13;7(1):121. doi: 10.1186/s40792-021-01205-8.
BACKGROUND
Hydrocele of canal of Nuck (HCN) is a rare disease in adult female. The diagnosis and treatment of HCN is still a challenge for surgeons.
CASE PRESENTATION
A 56-year-old female presented with recent onset of occasional pain during exercise and an asymptomatic left groin swelling. Ultrasonography results were suspicious for left inguinal hernia incarceration and computed tomography (CT) scan showed no intestinal obstruction, which was considered as HCN. Laparoscopic hydrocelectomy of the HCN and a routine laparoscopic hernia repair via the transabdominal preperitoneal (TAPP) approach were performed. Postoperative pathology showed no malignant lesions or endometriosis.
CONCLUSIONS
The preoperative diagnosis of HCN is extremely important. Surgeons should choose appropriate surgical methods for different anatomical HCNs based on the preoperative diagnosis.
背景
女性努克管水囊肿（HCN）是成年女性中的一种罕见疾病。HCN的诊断和治疗对外科医生来说仍然是一项挑战。
病例介绍
一名56岁女性，近期在运动时偶尔出现疼痛，左侧腹股沟有无症状肿胀。超声检查结果怀疑左侧腹股沟疝嵌顿，计算机断层扫描（CT）显示无肠梗阻，考虑为HCN。通过腹腔镜行HCN水囊切除术，并经腹腹膜前（TAPP）入路进行常规腹腔镜疝修补术。术后病理显示无恶性病变或子宫内膜异位症。
结论
HCN的术前诊断极为重要。外科医生应根据术前诊断为不同解剖类型的HCN选择合适的手术方法。
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