Question:

Which of the following answer choices is false?
1. Hydrocele of the Canal of Nuck is a rare disease seen in females.
2. It appears as a well-defined cystic structure on sonography.
3. It is hyper echoic on ultrasound.
4. It is more commonly seen in young children.
5. It may be confused for lymph node swelling in the inguinal region.





Answer:

The correct answer for the question "Which of the following answer choices is false?" is:

3. It is hyper echoic on ultrasound.



Explanation
1. Hydrocele of the Canal of Nuck is a rare disease seen in females. [Hydrocele of the canal of Nuck is a seldom encountered entity in clinical practice and is commonly mistaken for inguinal hernia as one third of the cases of the former are concomitantly present with the latter].

2. It appears as a well-defined cystic structure on sonography. [Sonographic appearance of hydrocele of the canal of Nuck shows a thin walled, well defined, echo free, cystic structure which may vary from an anechoic, tubular, sausage, dumbbell or comma-shaped, ``cyst within a cyst`` appearance to a multicystic hydrocele].

3. It is either hypo echoic or echo free on ultrasound. [Sonographic appearance of hydrocele of the canal of Nuck shows a thin walled, well defined, echo free, cystic structure which may vary from an anechoic, tubular, sausage, dumbbell or comma-shaped, ``cyst within a cyst`` appearance to a multicystic hydrocele].

4. It is more commonly seen in young children. [Although mostly reported in children population, its presence in adults has been documented].

5. Inguinal lymphadenopathy is one of the differentials. [Other possible differential diagnoses include lymphadenopathy, bartholin`s cyst, abscess, arterial and venous aneurysms and malignant and benign tumors].



From the manuscript:
Hydrocele of the Canal of Nuck: Value of Radiological Diagnosis
Radiology Case. 2012 Jun; 6(6):18-22


This article belongs to the GU section.




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From the manuscript

Hydrocele of the Canal of Nuck: Value of Radiological Diagnosis

Free full text article: Hydrocele of the Canal of Nuck: Value of Radiological Diagnosis

Abstract
Hydrocele of the canal of Nuck (cyst of the canal of Nuck) is the female homologue of hydrocele of the spermatic cord in males and is a rarely encountered entity, mostly diagnosed on the operating table at the time of suspected inguinal hernia surgery, as the clinical presentation usually is subtle and inconclusive. Diagnosis is mainly by ultrasound and has shown varied presentation of the same over the years. We discuss the sonographic findings of a case of hydrocele of the canal of Nuck.






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