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腹腔镜治疗伴有腹股沟疝的努克管囊肿

Laparoscopic treatment of a Nuck cyst with an inguinal hernia.

作者信息

Mares Carlos Alfredo, Casas Salvador Cristobal De Las, Vega Maria Valeria, Bozzo Wilfredo

机构信息

Department of General Surgery, Father Luis Tezza Clinic, Lima, Peru.

Department of General Surgery, Faculty of Medicine, Peruvian University of Applied Science, Lima, Peru.

出版信息

J Minim Access Surg. 2025 Mar 24. doi: 10.4103/jmas.jmas_389_24.

Abstract

Nuck's canal cysts are rare surgical embryological anomalies primarily observed in females under 5 years of age. They occur due to a failure of the processus vaginalis to completely obliterate, a process that should be complete within the first year of life. Clinically, these cysts manifest as a mass in the inguinal region or labia majora, which may or may not be associated with pain. This report presents the case of a 29-year-old female patient who presented with a painful mass in the right inguinal region. An abdominal wall ultrasound and magnetic resonance imaging revealed a right inguinal cystic lesion. A diagnostic and therapeutic laparoscopy was performed and revealed a cystic tumour adjacent to the round ligament. The tumour was treated through a transabdominal preperitoneal approach. The patient was discharged without complications and experienced no complications during subsequent follow-ups.

摘要

努克管囊肿是罕见的外科胚胎学异常,主要见于5岁以下女性。它们是由于鞘突未能完全闭塞所致,而这个过程在生命的第一年应已完成。临床上,这些囊肿表现为腹股沟区或大阴唇的肿块,可能伴有或不伴有疼痛。本报告介绍了一名29岁女性患者,她因右侧腹股沟区疼痛性肿块就诊。腹壁超声和磁共振成像显示右侧腹股沟囊性病变。进行了诊断性和治疗性腹腔镜检查,发现一个与圆韧带相邻的囊性肿瘤。通过经腹腹膜前入路对肿瘤进行了治疗。患者出院时无并发症,后续随访期间也未出现并发症。

相似文献

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Cyst of the canal of Nuck mimicking inguinal hernia.纽克管囊肿酷似腹股沟疝。
Int J Surg Case Rep. 2018;52:117-119. doi: 10.1016/j.ijscr.2018.09.053. Epub 2018 Oct 10.

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