@article{oai:ir.kagoshima-u.ac.jp:00014465,
 author = {山﨑, 洋一 and 實, 操二 and 小川, 信 and 保, 清和 and 前田, 哲 and 夏越, 祥次},
 journal = {鹿児島大学医学雑誌, Medical journal of Kagoshima University},
 month = {Dec},
 note = {症例は37歳，女性．数年前より間欠的な左鼠径部の膨隆を自覚．自分で用手還納可能であり放置していた． 1 週間前より左鼠径部の膨隆が持続するようになり近医を受診したところ，左鼠径ヘルニア嵌頓を疑われ当院紹介となった．画像検査より，左鼠径部に 3 cm大の嚢胞性腫瘤を認め，Nuck管水腫と診断し待機的に手術を施行した．腫瘤は外鼠径輪より遠位側の鼠径管外に位置し，子宮円索に隣接し存在していた．術前の問診より鼠径ヘルニアの合併が疑われたことから，鼠径管を開放すると，内鼠径輪より脱出するヘルニア囊を認めた．子宮円索，ヘルニア囊と共にNuck管水腫を切除し，メッシュを用いて後壁補強を行った．成人発症のNuck管水腫は稀な疾患とされ， 3 分の 1 の症例に鼠径ヘルニアを合併するとの報告もあり，症例に応じて水腫摘出に加えて後壁の補強を行う必要があると思われた．, A 37-year-old female had become aware of an intermittent swelling in the left inguinal region since several years ago. As she was able to reposition the lesion, she chose to simply observe it. However, she subsequently visited a local doctor because the swelling had persisted for a week. She was suspected of having an incarcerated hernia and consulted our hospital. Ultrasonography and computed tomography revealed a 3cm cystic mass in the left inguinal region. We diagnosed the mass as a hydrocele of the canal of Nuck and performed elective surgery. The mass was located on the anal side of the external inguinal region and had adhered to the round ligament of the uterus. A coexisting indirect hernia was suspected based on the patient’s history; therefore, we opened the inguinal canal and found a hernia sac protruding from the internal ring. After resecting the hydrocele, the round ligament of the uterus and the hernia sac, the internal ring was repaired with mesh. Adult cases of Nuck’s hydrocele are rare, and one third of such cases involve a coexisting inguinal hernia. In some cases, it is necessary to repair the internal ring in addition to resecting the hydrocele.},
 pages = {9--15},
 title = {外鼠径ヘルニアに成人Nuck 管水腫を合併した１例},
 volume = {69},
 year = {2017}
}