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Synchronic development of hydrocele and groin hernia during pregnancy: a case report
Lise Rasmussen1, Waqas Farooqui2, Annedorte Ries3
1Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, 2650, Hvidovre, Denmark. Rasmussen.lise92@gmail.com.
Introduction:
Hydroceles of the canal of Nuck are rare, and have not been described in relation to pregnancy.
Case Presentation:
A 34-year-old Caucasian female patient had bilateral groin swelling debuted during her pregnancy. A preoperative magnetic resonance imaging scan found bilateral hydroceles of the canal of Nuck. Operative findings and histological examinations revealed a left-sided inguinal hernia and a right-sided hydrocele. The patient was discharged well and without signs of postoperative complications or hernia recurrence.
Discussion:
In this case, a hydrocele and a hernia sac were morphologically identical in terms of preoperative appearance and development. Given the morphological correlation, it was surprising to find different operative findings confirmed by the histopathological examination.
Conclusion:
This is the first ever report of the synchronic development of two morphologically identical cystic processes, with one being a hydrocele and the other a hernia sac. In addition, the hydrocele developed during pregnancy, making this case even more unique.
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