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 4 cm.

     
    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. The left-sided cyst is considerably larger (4.7 x 4 x 3.8 cm) than the right (3.3 x 4.5 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. The 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 (follow-up after 1 year)
     

    Interval ultrasound examination of the left groin demonstrates significant increase in volume and size of the cyst (9.5 x 7.1 cm).

     
    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. (9.3 x 7.1 cm).

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

    Axial section; Interval CT after 1 year demonstrates bilateral enlargement of both cystic structures. The left-sided cyst has increased septation and high attenuating calcific foci. Left cyst (9 x 7 x 4.3 cm), 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 4 cm.
 
Colour Doppler demonstrates no flow.
 
Axial section: Contrast-enhanced CT demonstrates large fluid attenuating structures bilaterally in the subcutaneous tissue. The left-sided cyst is considerably larger (4.7 x 4 x 3.8 cm) than the right (3.3 x 4.5 x 4.8 cm).
 
Coronal section: Contrast-enhanced CT demonstrates bilateral fluid attenuating cystic structures in each inguinal canal. The 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 (9.5 x 7.1 cm).
 
Interval ultrasound examination of the right groin demonstrates significant increase in volume and size of the right-sided cyst. (9.3 x 7.1 cm).
 
Axial section; Interval CT after 1 year demonstrates bilateral enlargement of both cystic structures. The left-sided cyst has increased septation and high attenuating calcific foci. Left cyst (9 x 7 x 4.3 cm), right cyst (8.4 x 6.8 x 5.4 cm).
 
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.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version