Re: Cyst of the Canal of Nuck
From: Joanne Bulley, MD (islesannie@yahoo.com)
Wed Sep 22 22:02:03 2004
Thanks, Gerald.
Joanne
At Wed, 22 Sep 2004, Gerald P. Rodríguez wrote:
>
>I've done two or three of these, none of them had an associated inguinal
>hernia although 30% are associated with hernia. More often, I think, the
>mass is thought to be a hernia and it turns out to be a cyst. The ones I
>did were easy--skin incision over the cyst; then primarily blunt dissection
>to get around and posterior to the mass; identify the round ligament, if
>possible at both ends; and close. See reference below:
>
> 1: Obstet Gynecol. 1975 Apr;45(4):464-6. Related Articles, Links
>
>Hydrocele of the canal of nuck. A report of five cases.
>
>Block RE.
>Because of lack of information in the gynecologic literature on the subject
>of hydrocele of the canal of Nuck, 5 cases are reported here. The condition
>is reviewed, and the pathogenesis, clinical features, differential
>diagnosis, and management are discussed.]
>
>I think you might want to do this with a general surgeon if you think she
>has an associated hernia.
>
>Gerald P. Rodríguez, M.D., FACOG
>Santa Fe
>
>>>----- Original Message -----
>From: "Joanne Bulley, MD" <islesannie@yahoo.com>
>To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
>Sent: Wednesday, September 22, 2004 12:58 PM
>Subject: Cyst of Canal of Nuck
>
>> 52 yo G0 with mass in the lateral mons -- most likely a Cyst of the
>> Canal of Nuck -- essentially a hydrocele with probable inguinal hernia
>> associated with it.
>>
>> The local general surgeons seem totally unfamiliar with this. I have
>> never operated on one.
>>
>> I suspect she will need an exploration of the inguinal canal to
>> completely excise the hydrocele and probably a repair of the inguinal
>> hernia as well.
>>
>> Would any of you do this yourself - or would you send to a gyn onc as
>> they are "in this area" for other operations?
>>
>> What would you do?
>>
--
Joanne Bulley, MD
Keene, NH, USA
"Every gun that is made, every warship launched, every rocket fired, signifies
in the final sense a theft from those who hunger and are not fed, those who
are cold and are not clothed."
President Dwight D. Eisenhower
April 16, 1953
