{"title":"34岁孕妇努克管鞘膜积液致腹股沟疝一例报告。","authors":"Celsus Ukelina Undie, Kenechi Stanislaus Nedosa, Uchechukwu George Ogbu, Precious Odunayo Adeyemi, Adeyemi Odunayo Precious","doi":"10.11604/pamj.2025.51.36.47817","DOIUrl":null,"url":null,"abstract":"<p><p>Hydrocele of the canal of Nuck (HCN) is a rare condition in females that commonly presents in infancy and early childhood. It occurs when fluid accumulates within a patent part of the processus vaginalis causing a swelling in the groin. Clinicians would typically not consider it while evaluating inguinal swellings in adult females. Consequently, patients are likely to remain undiagnosed until complications set in. Herein, we present a clinically rare case of HCN in a pregnant adult female. We also aim to report how easily the diagnosis was missed, and to remind the medical community of other likely causes of inguinal swelling that could mimic an inguinal hernia. We managed a gravid 34-year-old university graduate with a spontaneous swelling on the left inguinal region. The swelling was a painless, firm, irreducible mass of 3 months' duration. She was gravida 1, para 0, in her first trimester. There was no associated symptom. Abdominal ultrasound scan found a well-defined mass of size 2.30 x 3.88cm around the left Hesselbach's triangle containing homogenous fluid, with minimal vascularity on colour Doppler interrogation. The working diagnosis was irreducible left inguinal hernia in a pregnant woman. This was later discovered to be a misdiagnosis. She was booked for inguinal herniorrhaphy, but HCN was found intraoperatively. Diagnosis of HCN is a challenge as it is seldom made on the basis of clinical findings alone. A high index of suspicion should be entertained by clinicians for early diagnosis and appropriate management.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"36"},"PeriodicalIF":1.0000,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329453/pdf/","citationCount":"0","resultStr":"{\"title\":\"Hydrocele of the canal of Nuck mimicking an inguinal hernia in a 34-year-old pregnant woman: a case report.\",\"authors\":\"Celsus Ukelina Undie, Kenechi Stanislaus Nedosa, Uchechukwu George Ogbu, Precious Odunayo Adeyemi, Adeyemi Odunayo Precious\",\"doi\":\"10.11604/pamj.2025.51.36.47817\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Hydrocele of the canal of Nuck (HCN) is a rare condition in females that commonly presents in infancy and early childhood. It occurs when fluid accumulates within a patent part of the processus vaginalis causing a swelling in the groin. Clinicians would typically not consider it while evaluating inguinal swellings in adult females. Consequently, patients are likely to remain undiagnosed until complications set in. Herein, we present a clinically rare case of HCN in a pregnant adult female. We also aim to report how easily the diagnosis was missed, and to remind the medical community of other likely causes of inguinal swelling that could mimic an inguinal hernia. We managed a gravid 34-year-old university graduate with a spontaneous swelling on the left inguinal region. The swelling was a painless, firm, irreducible mass of 3 months' duration. She was gravida 1, para 0, in her first trimester. There was no associated symptom. Abdominal ultrasound scan found a well-defined mass of size 2.30 x 3.88cm around the left Hesselbach's triangle containing homogenous fluid, with minimal vascularity on colour Doppler interrogation. The working diagnosis was irreducible left inguinal hernia in a pregnant woman. This was later discovered to be a misdiagnosis. She was booked for inguinal herniorrhaphy, but HCN was found intraoperatively. Diagnosis of HCN is a challenge as it is seldom made on the basis of clinical findings alone. A high index of suspicion should be entertained by clinicians for early diagnosis and appropriate management.</p>\",\"PeriodicalId\":48190,\"journal\":{\"name\":\"Pan African Medical Journal\",\"volume\":\"51 \",\"pages\":\"36\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2025-06-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329453/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pan African Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11604/pamj.2025.51.36.47817\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pan African Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11604/pamj.2025.51.36.47817","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
努克肛管鞘膜积液(HCN)是一种罕见的女性疾病,通常出现在婴儿期和幼儿期。当液体积聚在阴道突的未闭部分引起腹股沟肿胀时发生。临床医生在评估成年女性腹股沟肿胀时通常不会考虑它。因此,在出现并发症之前,患者很可能一直没有得到诊断。在此,我们提出一个临床罕见的病例HCN在怀孕成年女性。我们也旨在报告如何容易误诊,并提醒医学界其他可能引起腹股沟肿胀的原因,可能模仿腹股沟疝。我们治疗了一位怀孕的34岁大学毕业生,左侧腹股沟区域自发肿胀。肿胀为无痛、坚硬、不可缩小的肿块,持续3个月。她是怀孕第1期,第0期,孕早期。无相关症状。腹部超声扫描发现左侧Hesselbach三角区周围有一个2.30 x 3.88cm的清晰肿块,含均匀液体,彩色多普勒检查发现极少血管。工作诊断是难治性左腹股沟疝在一个孕妇。后来发现这是一次误诊。她被预约进行腹股沟疝修补术,但术中发现HCN。HCN的诊断是一项挑战,因为很少仅根据临床结果进行诊断。临床医生应高度怀疑,以便早期诊断和适当管理。
Hydrocele of the canal of Nuck mimicking an inguinal hernia in a 34-year-old pregnant woman: a case report.
Hydrocele of the canal of Nuck (HCN) is a rare condition in females that commonly presents in infancy and early childhood. It occurs when fluid accumulates within a patent part of the processus vaginalis causing a swelling in the groin. Clinicians would typically not consider it while evaluating inguinal swellings in adult females. Consequently, patients are likely to remain undiagnosed until complications set in. Herein, we present a clinically rare case of HCN in a pregnant adult female. We also aim to report how easily the diagnosis was missed, and to remind the medical community of other likely causes of inguinal swelling that could mimic an inguinal hernia. We managed a gravid 34-year-old university graduate with a spontaneous swelling on the left inguinal region. The swelling was a painless, firm, irreducible mass of 3 months' duration. She was gravida 1, para 0, in her first trimester. There was no associated symptom. Abdominal ultrasound scan found a well-defined mass of size 2.30 x 3.88cm around the left Hesselbach's triangle containing homogenous fluid, with minimal vascularity on colour Doppler interrogation. The working diagnosis was irreducible left inguinal hernia in a pregnant woman. This was later discovered to be a misdiagnosis. She was booked for inguinal herniorrhaphy, but HCN was found intraoperatively. Diagnosis of HCN is a challenge as it is seldom made on the basis of clinical findings alone. A high index of suspicion should be entertained by clinicians for early diagnosis and appropriate management.