AI Summary & Key Takeaways
AI InsightEspecially, the differential diagnosis should be made with irreductable inguinal hernia in older than 2 years.
📌 3 Key Takeaways
Abstract
Introduction: Cyst in the canal of nuck (CCN) is a result of a closure defect during the processus vaginalis in girls. The symptoms and mass findings in the inguinal region can mimic an irreducible inguinal hernia. The aim of this study was to investigate the differential diagnosis and surgical findings of girls who were operated on for an irreducible inguinal hernia and the frequency of consideration of a CCN. Methods: The data of 868 female patients aged 0–16 years who were referred to surgery with the preliminary diagnosis of an inguinal hernia between 2004 and 2019 were analyzed retrospectively. Results: A total of 138 patients (15.89%) were sent to emergency surgery for an inguinal hernia that could not be reduced. In 15 (10.8%) of these patients, the hernia spontaneously reduced after the application of general anesthesia. In the remaining patients, in order of decreasing frequency, the findings were ovarian sliding hernia (n=93; 67.3%), CCN (n=17; 12.3%), herniated small intestine (n=12; 8.6%), and lymphadenitis (n=1; 0.07%). The mean age of the patients diagnosed with CCN (52.13 months) was significantly higher than the mean age of patients with an incarcerated inguinal hernia (7.23 months). Discussion and Conclusion: CCN is seen more frequently than expected. Especially, the differential diagnosis should be made with irreductable inguinal hernia in older than 2 years.