{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T01:42:41Z","timestamp":1789436561675,"version":"build-2803163510"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,12,28]],"date-time":"2024-12-28T00:00:00Z","timestamp":1735344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The cyst of the canal of Nuck is a rare cause of inguino-labial swelling in adult women, arising from an obliteration failure of the processus vaginalis during embryological development. Its rarity often leads to misdiagnosis and improper treatment. This article highlights its diagnosis and surgical management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 21-year-old woman presented with a two-month history of symptomatic swelling in the right inguino-labial region, after consulting multiple doctors. Various investigations including abdominal ultrasonography, computed tomography, and Magnetic Resonance Imaging revealed multiloculated cystic lesion with thin walls, without communication to the peritoneal cavity. During surgery, an encysted sack was discovered at the external inguinal ring, with no associated hernia. The cyst was ligated high and excised along with the round ligament. The anatomical defect was repaired without using prosthetic mesh. The patient had an uneventful post-operative recovery at six-months follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The encysted hydrocele (Type 1) is the most common among the three types of canal of Nuck hydroceles. This rare entity should be considered in the differential diagnosis of groin masses, even in adult women. Ultrasonography is often used initially, while Magnetic Resonance Imaging is reserved for complex cases. Surgical intervention is essential for both diagnosis and treatment, with dissection extending up to the deep inguinal ring to address any associated hernias. The choice between open or laparoscopic procedures depends on the nature of the defect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Surgery remains the sole standard therapeutic approach for the management of the cyst of the canal of Nuck.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110807","type":"journal-article","created":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T03:22:37Z","timestamp":1735615357000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Cyst of the canal of Nuck in an adult female patient: A case report on surgical management"],"prefix":"10.1097","volume":"126","author":[{"given":"Caterina Maria","family":"Nava","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Geng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Litchinko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Jaccard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Egger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"4","key":"R1-155-20260508","article-title":"Hydrocele of the Canal of Nuck: a review","volume":"14","author":"Keeratibharat","year":"2022","journal-title":"Cureus"},{"issue":"7","key":"R2-155-20260508","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1007\/s11547-021-01361-9","article-title":"How embryology knowledge can help radiologists in the differential diagnosis of canal of Nuck pathologies","volume":"126","author":"Rosa","year":"2021","journal-title":"Radiol. Med."},{"issue":"5","key":"R3-155-20260508","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int. J. Surg."},{"key":"R4-155-20260508","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.clinimag.2018.02.003","article-title":"Anatomy and pathology of the canal of Nuck","volume":"51","author":"Nasser","year":"2018","journal-title":"Clin. Imaging"},{"issue":"3","key":"R5-155-20260508","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.jmig.2017.08.003","article-title":"Cyst of Nuck: a disregarded pathology","volume":"25","author":"Zawaideh","year":"2018","journal-title":"J. Minim. Invasive Gynecol."},{"issue":"2","key":"R6-155-20260508","first-page":"180","article-title":"Nuck cyst: a rare cause of inguinal swelling in infancy","volume":"73","author":"Papparella","year":"2021","journal-title":"Minerva Pediatr. (Torino)"},{"issue":"4","key":"R8-155-20260508","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1097\/00000658-194104000-00012","article-title":"Hydrocele of the canal of Nuck: report of seventeen cases","volume":"113","author":"Counseller","year":"1941","journal-title":"Ann. Surg."},{"issue":"6","key":"R9-155-20260508","first-page":"333","article-title":"Cyst of the canal of Nuck in adult females: a case report and systematic review","volume":"12","author":"Prodromidou","year":"2020","journal-title":"Biomed. Rep."},{"issue":"1","key":"R10-155-20260508","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1002\/ajum.12195","article-title":"Persistence of the processus vaginalis and its related disorders","volume":"23","author":"Brainwood","year":"2020","journal-title":"Australas J. Ultrasound Med."},{"issue":"8","key":"R11-155-20260508","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1007\/s00247-017-3853-6","article-title":"Canal of Nuck hernia: a multimodality imaging review","volume":"47","author":"Rees","year":"2017","journal-title":"Pediatr. Radiol."},{"issue":"3","key":"R12-155-20260508","article-title":"Laparoscopic versus open surgical management of hydrocele of the Canal of Nuck: a retrospective analysis of 20 cases","volume":"16","author":"Venkateswaran","year":"2024","journal-title":"Cureus"},{"issue":"11","key":"R13-155-20260508","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/j.ijscr.2014.08.016","article-title":"Laparoscopic diagnosis and treatment of a hydrocele of the canal of Nuck extending in the retroperitoneal space: a case report","volume":"5","author":"Matsumoto","year":"2014","journal-title":"Int. J. Surg. Case Rep."},{"issue":"10","key":"R14-155-20260508","article-title":"A case report of female hydrocele of the canal of Nuck (type I): A diagnostic challenge and surgical solution","volume":"15","author":"Gkioulos","year":"2023","journal-title":"Cureus"},{"key":"R15-155-20260508","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2023.107921","article-title":"The rarest variant type of groin cystic mass in adult female: encysted hydrocele Canal of Nuck","volume":"104","author":"Aldhafeeri","year":"2023","journal-title":"Int. J. Surg. Case Rep."},{"key":"R16-155-20260508","article-title":"Mesothelial cyst of the round ligament misdiagnosed as irreducible inguinal hernia","volume":"2013","author":"Manatakis","year":"2013","journal-title":"Case Rep. Surg."},{"issue":"12","key":"R17-155-20260508","doi-asserted-by":"crossref","DOI":"10.3390\/jcm9124026","article-title":"Hydroceles of the canal of Nuck in adults-diagnostic, treatment and results of a rare condition in females","volume":"9","author":"Fikatas","year":"2020","journal-title":"J. Clin. Med."},{"issue":"3","key":"R18-155-20260508","doi-asserted-by":"crossref","first-page":"429","DOI":"10.7863\/jum.2004.23.3.429","article-title":"Female hydrocele (cyst of the canal of Nuck): sonographic appearance of a rare and little-known disorder","volume":"23","author":"Stickel","year":"2004","journal-title":"J. Ultrasound Med."},{"issue":"1","key":"R19-155-20260508","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1097\/RUQ.0000000000000409","article-title":"Nuck canal hernias, typical and unusual ultrasound findings","volume":"35","author":"Jedrzejewski","year":"2019","journal-title":"Ultrasound Q."},{"issue":"3","key":"R20-155-20260508","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1002\/jcu.22390","article-title":"Cysts of the canal of Nuck: a rare sonographic diagnosis","volume":"45","author":"Lai","year":"2017","journal-title":"J. Clin. 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