Presentation
Painless right inguinal swelling.
Patient Data
Age: 25 years
Gender: Female
From the case:
Hydrocele of canal of Nuck
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Encysted fluid seen running anterior to the right round ligament of the uterus directed inferomedially towards the labium majus.
Incidentally found small interstitial fibroid.
From the case:
Hydrocele of canal of Nuck
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T2W fluid signal intensity confirming the location of the cystic lesion anterior to the right round ligament of the uterus.
Case Discussion
Canal of Nuck represents a persistent processus vaginalis in females.
Accumulation of fluid inside the canal causes inguinal swelling running anterior to the round ligament of the uterus.
The process usually presents during childhood as painless inguinal swelling, although sometimes it presents later as in this case.
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