A Pediatric Radiology Textbook and Pediatric Radiology Digital Library
Pediatric Hydrocele of Canal of Nuck
Etiology: Aberrant closure of the processus vaginalis leading to patent processus vaginalis
Imaging: Anechoic fluid collection in inguinal canal
DDX: Lymphadenopathy
Complications: Herniation of bowel, mesenteric fat or omentum, ipsilateral ovary (in 15-20%) or uterus into the canal of Nuck leading to a canal of Nuck hernia
Treatment: Surgical repair
Clinical: Occurs in females
Radiology Cases of Hydrocele of Canal of Nuck
Sagittal (above) and transvere (below) US images of the left inguinal canal show an oval, anechoic, non-peristalsing lesion in the left inguinal canal.
Radiology Cases of Hydrocele of Canal of Nuck With Canal of Nuck Hernia Containing Uterus and Ovary
Transverse US of the left inguinal canal (above) shows a uterus within the inguinal canal while a sagittal US (below) again shows the uterus in the superior inguinal canal and a cystic structure in the inferior inguinal canal.
