WOFAPS 2025 8th World Congress of Pediatric Surgery

Gülbin Yazgan, Olga Devrim Ayvaz, Ayşenur Celayir, Sabri Cansaran

University of Health Sciences, Turkey. Istanbul Zeynep Kamil Maternity and Children Diseases Health Training and Research Center, Department of Pediatric Surgery,

Aim:Nuck canal cyst (NCC) is a-rare-condition that can be confused with other pathologies that cause swelling in the-inguinal-region. This-study aimed to evaluate the behavioral-approach of the-family and surgeon in operated-children-diagnosed with NCC.

Method:Hospital-records of children with confirmed NNS’s who underwent surgery for inguinal-cysts/mass in our department between January 2008-2023 were retrospectively reviewed. Demographic-characteristics, complaints, history, examination and surgical findings were evaluated.

Results:In 15-girl diagnosed with NCCs in 15-year, the median-age was 37 months(2months-110months), 8(53%) were preterm, 6(40%) were term, and the gestational-age wasn’t recorded in one. Three(20%) of had noticed the swelling, five(33%) within a-week, and three(20%) after a-week. Seven(46%) had applied to the emergency-department, and eight(53%) had made an-appointment.

It was detected incidentally in 2(13%), one with a-complaint of umbilical-swelling and the-other in the-early control of the-right-inguinal-hernia-operation. The-history of two wasn’t recorded. It could be detected in 3(20%) during the-examination, but not in the others. In 2 of the 10-case(67%) with a-preliminary-diagnosis-of-inguinal hernia, the-swelling was bilateral; in 5 of them, the preliminary diagnosis was NCC.

In 3-case that applied to the-emergency-room, the-swelling was noticed on the-same-day; they were operated with the-preliminary-diagnoses of right-incarcerated-inguinal-hernia, left-reducible-sliding-over-hernia, and right-incarcerated-sliding-over-hernia, respectively. Two(13%) of were operated electively, and 13(87%) were operated urgently. In the operation, NCC was detected on the-right in 12(80%) and on the-Left in 3(20%). In 14, NCCs were excised together with high-ligation of Patent-Processus-Vaginalis;external-ring was closed in-4, and it was narrowed in-1. Their histopathologies were reported as NCC(n:12), fibroadipose-tissue (n: 1),fibroadiposis-muscular-tissue(n: 1) and fibrovascular tissue(n:1).No perioperative and early/late postoperative complications occurred; no recurrence was observed.

Conclusions:It was determined that parents applied urgently/within-the-first-week when the-swelling was first-noticed, and surgeons operated urgently with-the-prediagnosis of incarcerated inguinal-hernia or sliding over-hernia due to un-reductable swelling.It was noteworty that 53% of were preterm and 80% were on the right-side.