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International Journal of Case Reports and Images - IJCRI - Case Reports, Case Series, Case in Images, Clinical Images

Case Report
Laparoscopic treatment for hydrocele of the canal of Nuck
Koh F.J.1, Tay S.C.1, Ngu J.1
1MBBS, MRCS, Department of General Surgery, Changi General Hospital, 2 Simei Street 3, Singapore

Article ID: Z01201710CR10844KJ

Address correspondence to:
Dr. Koh Fang Ju Beatrice
Department of General Surgery
Changi General Hospital
2 Simei Street 3

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How to cite this article
Koh FJ, Tay SC, Ngu J. Laparoscopic treatment for hydrocele of the canal of Nuck. Int J Case Rep Images 2017;8(10):672–674.


Introduction: A hydrocele of the canal of Nuck is an exceedingly rare condition. Reports describing its treatment have almost exclusively involved open surgery. Advancements in minimally-invasive techniques have allowed us to employ laparoscopic hernia repair methods as a novel way of treating this condition.
Case Report: We present a 50-year-old obese female who was diagnosed with a 4.2x3.2 cm encysted hydrocele of the canal of Nuck on computed tomography. This arose from the peritoneal cavity in association with the left uterine round ligament and extended towards the left labia majora. The hydrocele was approached using a standard transabdominal preperitoneal technique. After dissecting the hydrocele from the canal, it was further parietalized along with its associated round ligament, which was then ligated and divided. A prolene mesh was used to cover the resultant defect in the internal inguinal ring. The peritoneal flap was repositioned and the peritoneal defect traversed by the round ligament was closed intracorporeally with an absorbable suture. The patient made an uneventful recovery and was discharged the next day.
Conclusion: Transabdominal preperitoneal approach allows for adequate assessment and complete excision of the canal of Nuck cyst, while combining the benefits of minimally-invasive tension-free mesh repair.

Keywords: Canal of Nuck, Hydrocele, Transabdominal preperitoneal mesh repair

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Author Contributions
Koh F.J. – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Tay S.C. – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published Ngu J. – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
The corresponding author is the guarantor of submission.
Source of support
Conflict of interest
Authors declare no conflict of interest.
© 2017 Koh F.J. et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.

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