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Abstract
RÉSUMÉ
The canal of Nuck hernia is a rare congenital entity, that results from the incomplete closure of processus vaginalis in female infants through which pelvic contents herniate into the inguinal canal to the labia majora. The presence of the ovaries and fallopian tubes as the content of the hernia sac is an infrequent finding. We report a case of a hernia of the left canal of Nuck in a 5-week-old premature female patient with left inguinal swelling. The inguinal hernia sac contained the uterus in addition to left ovary and fallopian tube. A reducible umbilical hernia was associated. The surgical repair of both hernias was successfully done in emergency. This report aims to draw the attention of radiologists and surgeons to this rare possibility during management of hernia to avoid the likely damage to herniated structures which can cause life-long consequences.
ABSTRACT
La hernie du canal de Nuck est une entité congénitale rare, résultant de la fermeture incomplète du processus vaginal chez les nourrissons féminins, par laquelle le contenu pelvien fait saillie dans le canal inguinal vers les grandes lèvres. La présence des ovaires et des trompes de Fallope comme contenu du sac herniaire est une découverte peu fréquente. Nous rapportons un cas de hernie du canal de Nuck gauche chez une patiente prématurée de 5 semaines présentant un gonflement inguinal gauche. Le sac herniaire inguinal contenait l'utérus en plus de l'ovaire et de la trompe de Fallope gauches. Une hernie ombilicale réductible était associée. La réparation chirurgicale des deux hernies a été réalisée avec succès en urgence. Ce cas clinique vise à attirer l'attention des radiologues et des chirurgiens sur cette possibilité rare lors de la prise en charge des hernies, afin d'éviter les dommages probables aux structures herniées qui peuvent avoir des conséquences à long terme.
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References
- Abdulhadi AB, Hadi AB, Amattalkhaleq MO, Bahakim K. Rare infantile inguinal hernia containing uterus, ovaries and fallopian tubes—a case report: presentation from Yemen. Surgical Science. 2019 May 29;10(05):169.
- Thomas AK, Teague CT, Jancelewicz T. Canal of Nuck hernia containing pelvic structures presenting as a labial mass. Radiology Case Reports. 2018 Jun 1;13(3):534-6.
- Daib A, Boughdir M, Ben Abdallah R, Hellal Y, Ben Malek MR, Gharbi Y, Kaabar N. A rare case of inguinal utero-ovarian hernia in girls. J. Clin. Med. Case Stud. 2017;2(2):1-3.
- Cascini V, Lisi G, Di Renzo D, Pappalepore N, Chiesa PL. Irreducible indirect inguinal hernia containing uterus and bilateral adnexa in a premature female infant: report of an exceptional case and review of the literature. Journal of Pediatric Surgery. 2013 Jan 1;48(1):e17-9.
- Shadbolt CL, Heinze SB, Dietrich RB. Imaging of groin masses: inguinal anatomy and pathologic conditions revisited. Radiographics. 2001 Oct;21(suppl_1):S261-71.
- Choi KH, Baek HJ. Incarcerated ovarian herniation of the canal of Nuck in a female infant: Ultrasonographic findings and review of literature. Annals of medicine and surgery. 2016 Aug 1;9:38-40.
- Nasser H, King M, Rosenberg HK, Rosen A, Wilck E, Simpson WL. Anatomy and pathology of the canal of Nuck. Clinical imaging. 2018 Sep 1;51:83-92.
- Marshall EA, Hao SB, Rodeberg DA. Incarcerated uterus and bilateral ovaries in a premature female infant inguinal hernia. Journal of Pediatric Surgery Case Reports. 2020 Jan 1;52:101330.
References
Abdulhadi AB, Hadi AB, Amattalkhaleq MO, Bahakim K. Rare infantile inguinal hernia containing uterus, ovaries and fallopian tubes—a case report: presentation from Yemen. Surgical Science. 2019 May 29;10(05):169.
Thomas AK, Teague CT, Jancelewicz T. Canal of Nuck hernia containing pelvic structures presenting as a labial mass. Radiology Case Reports. 2018 Jun 1;13(3):534-6.
Daib A, Boughdir M, Ben Abdallah R, Hellal Y, Ben Malek MR, Gharbi Y, Kaabar N. A rare case of inguinal utero-ovarian hernia in girls. J. Clin. Med. Case Stud. 2017;2(2):1-3.
Cascini V, Lisi G, Di Renzo D, Pappalepore N, Chiesa PL. Irreducible indirect inguinal hernia containing uterus and bilateral adnexa in a premature female infant: report of an exceptional case and review of the literature. Journal of Pediatric Surgery. 2013 Jan 1;48(1):e17-9.
Shadbolt CL, Heinze SB, Dietrich RB. Imaging of groin masses: inguinal anatomy and pathologic conditions revisited. Radiographics. 2001 Oct;21(suppl_1):S261-71.
Choi KH, Baek HJ. Incarcerated ovarian herniation of the canal of Nuck in a female infant: Ultrasonographic findings and review of literature. Annals of medicine and surgery. 2016 Aug 1;9:38-40.
Nasser H, King M, Rosenberg HK, Rosen A, Wilck E, Simpson WL. Anatomy and pathology of the canal of Nuck. Clinical imaging. 2018 Sep 1;51:83-92.
Marshall EA, Hao SB, Rodeberg DA. Incarcerated uterus and bilateral ovaries in a premature female infant inguinal hernia. Journal of Pediatric Surgery Case Reports. 2020 Jan 1;52:101330.