Johanna Hamnia B Poblete¹*, Manuelle Josephine T Mendoza¹, Wesley Daniel Advincula², Jana Kathyrn Luz U Go³, Marie Victoria Cruz-Javier³ and Jonathan Joy D Adora¹

¹Division of Minimally Invasive Surgery, Institute of Surgery, St. Luke’s Medical Center, Philippines
²Institute of Surgery, St. Luke’s Medical Center – Global City, Philippines
³Department of Obstetrics and Gynecology, St. Luke’s Medical Center – Global City, Philippines

*Corresponding Author: Johanna Hamnia B Poblete, Division of Minimally Invasive Surgery, Institute of Surgery, St. Luke’s Medical Center, Philippines.

Received: April 28, 2025; Published: May 20, 2025

Abstract

Canal of Nuck hydrocele is a rare condition in females and it results from the incomplete closure of the secretory membranes of the processus vaginalis. We present a 33-year-old female presenting with a palpable mass in the right inguinal region with no other associated signs and symptoms. Ultrasound was done revealing a canal of Nuck hydrocele. The patient underwent laparoscopic excision of hydrocele with transabdominal preperitoneal hernioplasty. The patient was discharged on the second postoperative day. Canal of Nuck hydrocele in females is rare, occurring in about 9-11% in infants but the condition is rarer in adult females and only 27 cases are reported globally. Although infrequent, Nuck’s hydrocele should be included in the differential diagnosis of inguinal swelling in females. Imaging such as ultrasound and MRI can help in clinching the diagnosis. The treatment of choice is always surgical, and laparoscopy offers a better technique in terms of visualizing and correlating nearby structures of the hydrocele. This is the first reported case on surgical repair of the canal of Nuck hydrocele in an adult female in the Philippines. As such, its contribution to global literature is important in order to gain a more holistic understanding of such a rare disease entity in females.

Keywords: Laparoscopic Excision of Hydrocele; Canal of Nuck; Hydrocele in Adult Female

References

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2. Prodromidou A., et al. “Cyst of the Canal of Nuck in adult females: A case report and systematic review”. Biomedical Reports 6 (2020): 333-338.
3. Keeratibharat N and Chansangrat J. “Hydrocele of the Canal of Nuck: A Review”. Cureus4 (2022): e23757.
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Citation

Citation: Johanna Hamnia B Poblete., et al. “A Rare Case of Laparoscopic Excision of Hydrocele in the Canal of Nuck in an Adult Female". Acta Scientific Clinical Case Reports 6.6 (2025): 19-23.

Copyright

Copyright: © 2025 Johanna Hamnia B Poblete., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.