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Revista Mexicana de Cirugía Endoscópica

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2022, Number 3-4

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Rev Mex Cir Endoscop 2022; 23 (3-4)

Nuck cyst resolved by laparoscopic surgery: clinical case report

Pereyra-Talamantes A, Rodríguez-Silverio JE, Gallaga-Rojas MA, Vergara-Tamayo EA, Pérez-Morales O, De ABC
Full text How to cite this article 10.35366/110664

DOI

DOI: 10.35366/110664
URL: https://dx.doi.org/10.35366/110664

Language: Spanish
References: 7
Page: 99-102
PDF size: 210.83 Kb.


Key words:

Nuck cyst, laparoscopy, inguinal hernia, clinical case.

ABSTRACT

Introduction: Nuck's cysts are rare pathologies and are difficult to diagnose preoperatively. Case presentation: a 40-year-old patient, with pain in the right inguinal region, initially diagnosed as an inguinal hernia by ecography, during the diagnostic laparoscopy no inguinal hernial defect was evidenced, so the entire inguinal canal was explored. Finding the presence of a 35 × 20 mm cystic lesion that was completely resected and preformed polypropylene mesh was placed, the histopathological study reported a multiloculated mesothelial cyst compatible with a Nuck's cyst. Conclusions: it's a rare pathology, when the presence of a hernial defect is not observed in the transoperative, the entire inguinal region should be explored and the inguinal hernioplasty and mesh placement should be continued in a conventional surgery.


REFERENCES

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  2. Wang L, Maejima T, Fukahori S, Shun K, Yoshikawa D, Kono T. Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review. Surg Case Rep. 2021; 7: 121. doi: 10.1186/s40792-021-01205-8.

  3. Ozel A, Kirdar O, Halefoglu AM, Erturk SM, Karpat Z, Lo Russo G et al. Cysts of the canal of Nuck: ultrasound and magnetic resonance imaging findings. J Ultrasound. 2009; 12: 125-127. doi: 10.1016/j.jus.2009.05.002.

  4. Thomas AK, Thomas RL, Thomas B. Canal of nuck abnormalities. J Ultrasound Med. 2020; 39: 385-395. doi: 10.1002/jum.15103.

  5. Baig Z, Hunka N, Gaboury J. Surgical treatment of a canal of Nuck cyst presenting as a femoral hernia: An unusual case report. Int J Surg Case Rep. 2021; 87: 106435. doi: 10.1016/j.ijscr.2021.106435.

  6. Topal U, Saritas AG, Ülkü A, Akcam AT, Doran F. Cyst of the canal of Nuck mimicking inguinal hernia. Int J Surg Case Rep. 2018; 52: 117-119. doi: 10.1016/j.ijscr.2018.09.053.

  7. Ferreira AF, Marques JP, Falcao F. Hydrocele of the canal of Nuck presenting as a sausage-shaped mass. BMJ Case Rep. 2017; 2017: bcr2017221024.




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Rev Mex Cir Endoscop. 2022;23