De la Vega GFJ, Lanzagorta OD, Fernández LLJ, Santín RJ

Language: Spanish
References: 10
Page: 144-147
PDF size: 226.23 Kb.

ABSTRACT

Nuck’s cyst is the equivalent of hydrocele in women, since the mesothelial tissue that follows the round ligament in the inguinal canal develops a serous liquid collection, which dilates this structure. Clinically shows as an increase in volume, which can be confused with a inguinal hernia. The most appropriate diagnostic study is ultrasound and in case of doubt, a CT Scan or MRI can be indicated. The resolution is completely surgical, as a dissection and ligation of the cyst is performed to prevent recurrences, in addition it may occasionally require inguinal repair due to concomitance of indirect inguinal hernia. A clinical case is presented, a patient that comes for mild pain and gradual increase in volume. On physical examination suspicion of the cyst is established, because of the lack of reduction of the inguinal lesion without presenting other clinical data of incarceration. Ultrasound images and dissection in surgery are presented. In the literature review, we observe that despite being a rare disease, several cases have been reported, especially in the last 10 years. Cases are reported in several countries (without a genetic tendency), they are always managed by surgery (some with laparoscopic technique) and none have been reported with complications. It is certainly a rare disease in each region, but with the large number of multinational reports, this analysis is performed with the aim of contrasting information and results.

REFERENCES

1. Jarquín-Arremilla A, García-Espinoza JA, Tafoya-Ramírez F, Lechuga-García NA. Quiste de Nuck, una entidad clínica inusual. Informe de un caso y revisión de la literatura. Cir Gen. 2018; 40 (1): 38-42.

2. Crespí A, Lozano L, Sánchez A, Muñoz J, De la Llave A, Pallisera A et al. Quiste de Nuck en el diagnóstico diferencial de la hernia inguino-crural. Cir Esp. 2014; 92: 882.

3. Cabistany A, Martínez J, Royo B, Sanz O, Aísa G. Tumoración inguinal de etiología excepcional: quiste del canal de Nuck. Ginecol Obstet Mex. 2016; 84 (4): 265-269.

4. https://www.medigraphic.com/cgi-bin/new/resumen.cgi? IDARTICULO=38952

5. Noguchi D, Matsumoto N, Kamata S, Kaneko K. Embarazo ectópico con desarrollo de quiste en canal de Nuck. Obstet Gynecol. 2014; 123 (2): 472-476.

6. Okoshi K, Mizumoto M, Kinoshita K. Endometriosis asociada a hidrocele en el canal de Nuck con confirmación inmunohistoquímica: reporte de caso. J Med Case Reports. 2017; 11: 354.

7. Matsumoto T, Hara T, Hirashita T, Kubo N, Hiroshige S, Orita H. Diagnóstico laparoscópico y tratamiento de hidrocele de canal de Nuck que se extiende a espacio retroperitoneal: reporte de caso. Int J Surg Case Rep. 2014; 5: 861-864.

8. Qureshi N, Lakshman K. Excisión laparoscópica del quiste de canal de Nuck. J Min Access Surg. 2014; 10: 87-89.

9. Ozel A, Kirdar A, Halefoglu S, Erturk Z, Karpat G, Russo L et al. Quiste del canal de Nuck: hallazgos en ultrasonido y resonancia magnética. J Ultrasound. 2009; 12: 125-127.

10. Matsumoto T, Hara T, Hirashita T, Kubo N, Hiroshige S, Orita H. Diagnóstico laparoscópico y tratamiento de hidrocele del canal de Nuck que se extiende al espacio retroperitoneal: reporte de caso. Int J Surg Case Rep. 2014; 5: 861-864.