EURORAD ESR

Case 15386

Bilateral Canal of Nuck cysts; A rare presentation

Author(s)
Murray M., O'Brien C., Hutchinson Z., Malone DE

St Vincent's University Hospital, Dublin 4, Ireland
 
Patient
female, 65 year(s)
 
 
  • Figure 1
    Left Inguinal ultrasonography
     

    A large cystic structure in the left inguinal region is seen. It is well circumscribed, measuring 3.6 x 4cm.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Colour doppler demonstrates no flow.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 2
    CT abdomen and pelvis
     

    Axial section: Contrast enhanced CT demonstrates large fluid attenuating structures bilaterally in the subcutaneous tissue. Left sided cyst is considerably larger ( 4.7 x 4 x 3.8cm)than the right (3.3 x4.5 x 4.8)

     
    Area of Interest: Abdominal wall; Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Coronal section: Contrast enhanced CT demonstrates bilateral fluid attenuating cystic structures in each inguinal canal. Left sided cyst is considerably larger than the right.

     
    Area of Interest: Abdominal wall; Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 3
    Bilateral Inguinal ultrasonography (1 year follow up)
     

    Interval Ultrasound examination of the left groin demonstrates significant increase in volume and size of the cyst. (9.5x7.1cm)

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Interval Ultrasound examination of the right groin demonstrates significant increase in volume and size of the right sided cyst. (9.3x7.1cm)

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 4
    CT abdomen and pelvis (1 year follow up)
     

    Axial section; Interval CT at 1 year demonstrates bilateral enlargement of both cystic structures. The left sided cyst has increased septation and high attenuating calcific foci. Left cyst(9x7x4.3cm), Right...

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Coronal section; Interval Contrast enhanced CT demonstrates bilateral enlargement of both cystic structures. The left sided cyst has increased in size and number of septations.

     
    Area of Interest: Abdominal wall; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
A large cystic structure in the left inguinal region is seen. It is well circumscribed, measuring 3.6 x 4cm.
 
Colour doppler demonstrates no flow.
 
Axial section: Contrast enhanced CT demonstrates large fluid attenuating structures bilaterally in the subcutaneous tissue. Left sided cyst is considerably larger ( 4.7 x 4 x 3.8cm)than the right (3.3 x4.5 x 4.8)
 
Coronal section: Contrast enhanced CT demonstrates bilateral fluid attenuating cystic structures in each inguinal canal. Left sided cyst is considerably larger than the right.
 
Interval Ultrasound examination of the left groin demonstrates significant increase in volume and size of the cyst. (9.5x7.1cm)
 
Interval Ultrasound examination of the right groin demonstrates significant increase in volume and size of the right sided cyst. (9.3x7.1cm)
 
Axial section; Interval CT at 1 year demonstrates bilateral enlargement of both cystic structures. The left sided cyst has increased septation and high attenuating calcific foci. Left cyst(9x7x4.3cm), Right cyst(8.4x6.8x5.4cm)
 
Coronal section; Interval Contrast enhanced CT demonstrates bilateral enlargement of both cystic structures. The left sided cyst has increased in size and number of septations.
 
 
 
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