Laparoscopic excision of cyst of canal of Nuck
A 28-year-old female presented with complaint of pain and swelling in her left inguinal region since 1 month. Swelling was insidious in onset, with a slight increase in the size of the swelling since its occurrence. There was no history of vomiting, bowel and bladder dysfunction. On examination, an oval, approximately 4 × 3 cm in size, tender, cystic and fluctuant swelling was present in the left inguinal region. Transillumination test was negative. Swelling was irreducible against manual pressure. There was no expansible cough impulse, peristaltic activity or abnormal vascularity-associated with the swelling. Signs of inflammation were absent. Lymph nodal examination was normal. Ultrasonography revealed left inguinal hernia, with well-defined, oval, anechoic cystic swelling within the inguinal canal measuring 4 × 3 cm []. Patient underwent laparoscopic excision of cyst of canal of Nuck with left inguinal hernioplasty. Peritoneum was opened and hernia defect was identified []. Round ligament was identified along with the hydrocele of the canal of Nuck. Cyst of canal of nuck was separated from the round ligament and excision of the cyst of canal of Nuck was carried out []. A 15 × 10 cm polypropylene (Prolene, Ethicon, Mumbai, India) mesh was placed to cover the hernia defect []. Peritoneal flaps were approximated. Post-operative period was uneventful and patient recovered satisfactorily. Histopathologic examination confirmed it as Hydrocoele of canal of Nuck. Patient is asymptomatic on follow up.