Synchronic development of hydrocele and groin hernia during pregnancy: a case report

Lise Rasmussen, Waqas Farooqui, Annedorte Ries, Morten Willer Stadeager


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.

Original languageEnglish
Article number433
JournalJournal of Medical Case Reports
Issue number1
Pages (from-to)433
Publication statusPublished - 27 Sept 2023


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