Laparoscopic Management of a Canal of Nuck Cyst

Jacqueline Ho, MD, John Maa, MD, Peter Liou, MD, Jeannette Lager, MD

Department of Obstetrics and Gynecology, and Reproductive Sciences, University of California San Francisco, CA (Drs. Ho, Lager). Northern California Chapter of the American College of Surgeons, and Division of General and Trauma Surgery, Marin General Hospital, Larkspur, CA (Dr. Maa). Department of Surgery, Columbia University, New York, NY (Dr. Liou).


The female hydrocele, also known as the canal of Nuck cyst, is a rare congenital abnormality that is the equivalent of the patent processus vaginalis in males. We are the first to report the laparoscopic excision of an entirely extraperitoneal canal of Nuck cyst. We discuss the embryology, pathophysiology, and surgical management of this atypical variant of a rare entity.

Key Words: Canal of Nuck cyst, Hydrocele, Laparoscopic surgery, Processus vaginalis.

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