Akademik Veri Yönetim Sistemi
INTERNATIONAL HALICH CONGRESS ON MULTIDISCIPLINARY SCIENTIFIC RESEARCH-VII, İstanbul, Türkiye, 23 - 25 Ocak 2024, ss.501-502, (Özet Bildiri)
ABSTRACT Nuck canal cyst is a rare disease and is the equvilant of female hydrocel which originates from nuck canal the female eqivalent of processus vaginalis. It usually presents itself in female children but can occur rarelly in female adults also. In 1691 Dutch Anton Nuck described it. Nuck canal originates from the invagination of peritonium between round ligament and uterus and follows round ligament and inguinal circle up to labium majus. Nuck canal cyst is the result of this canals procimal end not closing after the first year of birth. Counsellor and Black described three types. The first type is unrelated to peritoneal space and makes a hydrocel along the canal, the second type is in touch with peritonel cavity and the third type namely the “hourglass” has parts that are connected and uncoonected to the peritoneal cavity. The disease is mostly misdiagnosed as inguinal hernia and thus mistreated until the pathology results give the definitive true diagnosis. Case report:. In the physical examination of a 41-year-old female patient who applied to our clinic with complaints of pain and swelling in the right groin; During palpation, an approximately 4x4 cm mass was detected extending from the right inguinal region to the right labium majus, which became evident with the Valsavra maneuver. USG reported an anecoic cytsic lesion (diverticule?) in right inguinal region that is 25mm in diameter before valslva manuver and goes up to 40mm after it. The patient had a contrasts infused abdominal CT scan which reported, a cystic lesion in right bottom quadrent that originates next to uterus and from round ligament that goes up to inguinal canal until labium majus with a diameter of 4x2,5x13 cm. the prediagnosis was nuck canal cyst. The patient was prediagnosed as nuck canal cyst by us and undergone open surgery. During the surgery the cyst has been found to follow round liagment from the distal end which starts from labium majus and the procimal end which end near uterus side wall and peritoneal cavity that was separeted to two via a septum. The cyst was also accompanied by an indirect inguinal hernia. The hernia sach was separeted from the cyst wall and tyed than send to abdominal cavity. The remaining csytic lesion was removed as a whole . The internal ring which was enlarged has been repaired via poliprolene mesh. No postoperatif complications were present. In conclusion, nuck canal cyst is a very rare condition that presents with the clinic of right inguinal hernia in female