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Re: Cyst of the Canal of Nuck From: Gerald P. Rodríguez (geraldpr@cybermesa.com) Wed Sep 22 14:51:47 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Follow up of the ascitis case and new one" Previous message: Lynn D. Montgomery, M.D.: "Re: Office ultrasound" 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 > Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Follow up of the ascitis case and new one" Previous message: Lynn D. Montgomery, M.D.: "Re: Office ultrasound"

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