Kadın Nuck Kanalı Hidroseli: Nadir Kasıkta Kitle Nedeni

Öz

Nuck Kanalı kisti kadınlarda prosesus vaginalisin kapanmaması sonucu inguinal bölgede oluşan kistik bir patolojidir. Kliniğe üç gün önce başlayan hafif derecede kasık ağrısıyla başvuran 26 yaşındaki kadın hastada kasık bölgesinde 4x4 cm’lik kistik bir kitle saptanmış ve hasta Nuck Kanalı Hidroseli ön tanısıyla opere edilmiştir. Operasyon sırasında Nuck Kanal kisti tanısı doğrulanmıştır. Kasıkta veya labiumda, özellikle ağrısız şişlik şikayetiyle gelen kadın hastalarda, etrangule fıtık yanında Nuck Kanalı Hidroseli de ayırıcı tanı içerisinde düşünülmelidir. Bu yazıda literatür taraması eşliğinde Nuck Kanalı kisti tanısı alan bu olgu sunulmuştur

Anahtar Kelimeler

• Hidrosel, Nuck Kanalı, kasıkta kitle

Hydrocele of the Canal of Nuck: A Rare Cause of an Inguinal Mass

Öz

Cysts in the canal of Nuck canal are a cystic pathology of the inguinal region which form as a result of the defective closure of the processus vaginalis in females. A cystic mass (4x4 cm) was detected in the groin region of a female patient (26 years old) admitted to the clinic with minimal inguinal pain with onset three days prior. The patient was operated on with an initial diagnosis of a hydrocele of the canal of Nuck. During the operation, a diagnosis of a cyst of the canal of Nuck was made. Cysts of the canal of Nuck must be included in the differential diagnosis in addition to strangulated hernia in patients admitted with a complaint of painless swelling in the groin region or labia. A review of the literature was made, supporting the diagnosis of this case as a cyst of the canal of Nuck

Anahtar Kelimeler

• Hydrocele, canal of Nuck, inguinal mass

Kaynakça

1. De Meulder F, Wojciechowski M, Hubens G, Ramet J. Female hydroce- le of the canal of Nuck: a case report. Eur J Pediatr 2006; 165: 193-4. [CrossRef]
2. Park SJ, Lee HK, Hong HS, Kim HC, Kim DH, Park JS, et al. Hydrocele of the canal of Nuck in a girl: ultrasound and MR appearance. Br J Radiol 2004; 77: 243-4. [CrossRef]
3. Sekmenli Tamer. Nuck kanal kisti: İki olgu sunumu. Gülhane Tıp Dergisi 2008; 50: 282-4.
4. Stickel WH, Manner M. Female hydrocele (cyst of the canal of Nuck): so- nographic appearance of a rare and little-known disorder. J Ultrasound Med 2004; 23 : 429-32.
5. Anderson CC, Broadie TA, Mackey JE, Kopecky KK. Hydrocele of the ca- nal of Nuck: ultrasound appearance. Am Surg 1995; 61: 959-61.
6. Schwartz A, Peyser MR. Nuck’s hydrocele. Int Surg 1975; 60: 91-2.
7. Block RE. Hydrocele of the canal of nuck. A report of five cases. Obstet Gynecol 1975; 45: 464-6.
8. Miklos JR, Karam MM, Silver E, Reid R. Ultrasound and hookwire needle placement for localization of a hydrocele of the canal of Nuck. Obstet Gynecol 1995; 85: 884-6. [CrossRef]

9. Huang CS, Luo CC, Chao HC, Chu SM, Yu YJ, Yen JB. The presentation of asymptomatic palpable movable mass in female inguinal hernia. Eur J Pediatr 2003; 162: 493-5. [CrossRef]
10. Anderson CC, Broadie TA, Mackey JE, Kopecky KK. Hydrocele of the ca- nal of Nuck: ultrasound appearance. Am Surg 1995; 61: 959-61.
11. Yen CF, Wang CJ, Lin SL, Chang PC, Lee CL. Concomitant closure of pa- tent canal of Nuck during laparoscopic surgery: case report. Human Reprod 2001; 16: 357-9. [CrossRef]
12. Wei BP, Castles L, Stewart KA. Hydrocele of the canal of Nuck. ANZ J Surg 2002; 72: 603-5. [CrossRef]
13. Yuksel KZ, Senoglu M, Yuksel M, Ozkan KU. Hydrocele of the canal of Nuck as a result of a rare ventriculoperitoneal shunt complication. Pedi- atr Neurosurg 2006; 42: 193-6. [CrossRef]