Canal Of Nuck Hernia Vs Inguinal Hernia

The canal of nuck is a fold of peritoneum that invaginates into the inguinal canal and closes at or just before birth.

Canal of nuck hernia vs inguinal hernia. Canal of nuck hernias typically present as an inguinal mass that can extend to labia majora the direct continuation of the herniated contents with the peritoneal cavity is the hallmark of a hernia 1 a herniated ovary should be differentiated from other possible herniated. Ultrasound is the preferred first line modality in the evaluation of inguinal masses. Fluid accumulates inside the remnant of the canal of nuck that normally develops in the inguinal canal of a female fetus but disappears after birth. The left ovary and its pedicle show normal vascular supply with no twist at the time of examination.

It can be associated with inguinal hernia in 30 40 of cases only 400 cases have been described in literature and in there are no older than 50. The authors present the first reported case of a hydrocele of the canal of nuck diagnosed laparoscopically. Cyst of canal of nuck in a 62 year old woman. The left ovary measures 1 8 x 1 2 cm in dimensions with no evidence of torsion.

The gubernaculum testis attaches to the lower pole of the fetal gonad along its superior aspect and attaches to the skin. Hernia of canal of nuck is an extension of peritoneal fold through the inguinal canal up to the labia majora. Laparoscopic techniques are being increasingly used in the repair of inguinal hernias and offer the potential benefit of identifying additional pathology. Left canal of nuck hernia with herniated left ovary surrounded with minimal free fluid through left inguinal canal hernial sac.

Canal of nuck abnormalities are a rare but important cause of morbidity in girls most often those younger than 5 years of age. A wide range of diagnoses can present as inguinal hernia. Defective obliteration of this peritoneal fold leads to herniation of abdominal content into the inguinal canal. If the canal of nuck remains open in female infants herniation of the uterus adnexa and or bowel loops may arise through the inguinal canal into the labia majora.

Incidence of ovary and fallopian tube as contents of henia is rare overall and very rare in middle age women. A cyst or hydrocele of the canal of nuck is a condition that closely resembles inguinal hernia and is mostly seen in young women. In girls a patent inguinal canal is called a canal of nuck. The prenatal development of the inguinal canal is due to the contribution of 2 main fetal anatomic structures the processus vaginalis and the gubernaculum testis.

The canal of nuck which is the female equivalent of the male processus vaginalis is a protrusion of parietal peritoneum that extends through the inguinal canal and terminates in the labia majora. Cyst of the canal of nuck.