PMC7410395_01
Black arrow showing a polycystic lesion in the right inguinal region along with serous fluid within, suggestive of hydrocele of the canal of Nuck.
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Bilateral inguinal exploration revealed a dilated canal of Nuck with encysted polycystic swelling on the right and left sides containing serous fluids along with inguinal hernia containing omentum on the left (Figures 1 and 2).
Incision sites in the right inguinal region, left inguinal region, and lower midline laparotomy. The black arrow pointing upward in the left inguinal area shows the omentum as a content of the left inguinal hernia; the downward arrow shows the site of the cystic component which ruptured during manipulation of the dilated canal of Nuck.
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Bilateral inguinal exploration revealed a dilated canal of Nuck with encysted polycystic swelling on the right and left sides containing serous fluids along with inguinal hernia containing omentum on the left (Figures 1 and 2).
(A) Multiple sections examined from the bilateral inguinal region mass, with the cyst wall lined partly by flattened to cuboidal cells and partly by mesothelial cells, showing an area of necrosis with mixed inflammatory infiltrates. (B) Fibrocollagenous cyst wall lined by low cuboidal to flat epithelium along with proliferation of small-caliber vascular channels.
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Histopathology was consistent with hydrocele of the canal of Nuck, with ischemic changes and inflammation (Figure 3A and B).