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Hydrocele of the canal of Nuck presenting as a sausage-shaped mass
  1. Ana Filipa Ferreira1,4,
  2. João Paulo Marques1,
  3. Francisco Falcão1
  1. 1Gynecology, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
  2. 4Medical School, University of Coimbra, Coimbra, Portugal
  1. Correspondence to Dr Ana Filipa Ferreira, filipaferreira44{at}


A 23-year-old woman presented with a painless vulval swelling. On physical examination, a soft fluctuant sausage-shaped mass was found, measuring approximately 4 cm, extending from the right inguinal region to the labia majora. Ultrasound revealed a well-defined hypoechoic elongated mass, septated, extending from the superficial inguinal canal to labia majora. Sonographic findings were consistent with the diagnosis of a hydrocele of the canal of Nuck. Surgical exploration revealed an elongated cystic lesion with a total length of 13 cm, mucous component and internal septations. Histopathological examination of the surgical specimen confirmed the suspected diagnosis.

  • Obstetrics And Gynaecology
  • General Surgery
  • Radiology
  • Pathology

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  • Contributors AFF and JPM conducted the acquisition of data and drafted the manuscript. FF has given the final approval of the version to be published. All authors read and approved the final manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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