Alresheedi Wejdan M, Alfehaid Mohammed S
Department of Surgery, Buraidah Central Hospital, Ministry of Health, Ali bin Abi Taleb Street, King Abdullah Road, Buraidah, Al-Qassim Province 52385, Saudi Arabia.
Department of Surgery, College of Medicine, Qassim University, King Abdulaziz Road, Al-Qassim Province 52571, Saudi Arabia.
J Surg Case Rep. 2025 Sep 9;2025(9):rjaf727. doi: 10.1093/jscr/rjaf727. eCollection 2025 Sep.
Canal of Nuck hydrocele represents a rare anatomical entity in female patients and is predominantly documented in pediatric populations. This condition arises from incomplete obliteration of the processus vaginalis during embryogenesis. A 23-year-old female presented with a 3-week history of right groin pain and swelling. Physical examination revealed a small right inguinal swelling with a positive cough impulse. Subsequent imaging demonstrated a cystic lesion extending through the right inguinal canal without evidence of bowel or omental herniation. The patient underwent elective diagnostic laparoscopy with hydrocelectomy and mesh hernioplasty. The postoperative course was uneventful with complete symptom resolution and benign histopathological findings. This case contributes to the growing literature documenting adult presentations of canal of Nuck hydrocele. Our findings suggest that this condition should be included in the differential diagnosis of inguinal masses in adult females. The successful management through laparoscopic approach demonstrates the efficacy of this minimally invasive surgical strategy.
努克管鞘膜积液在女性患者中是一种罕见的解剖学实体，主要见于儿科人群。这种情况源于胚胎发育过程中鞘状突未完全闭锁。一名23岁女性，有3周的右腹股沟疼痛和肿胀病史。体格检查发现右腹股沟有一个小肿块，咳嗽冲击试验阳性。随后的影像学检查显示一个囊性病变延伸至右腹股沟管，无肠管或网膜疝的迹象。患者接受了择期诊断性腹腔镜检查并进行了鞘膜积液切除术和网状疝修补术。术后过程顺利，症状完全缓解，组织病理学检查结果为良性。该病例丰富了关于努克管鞘膜积液成人表现的文献。我们的研究结果表明，这种情况应纳入成年女性腹股沟肿块的鉴别诊断。通过腹腔镜手术成功治疗证明了这种微创手术策略的有效性。
