1.Canal of Nuck Cyst: A Conundrum of Inguinal Swelling in Adult Females
Nurul Amira MOHAMED ; Bushra JOHARI ; Nazimah AB MUMIN ; Yahya MOHD ARIPIN
Brunei International Medical Journal 2025;21():156-159
Inguinal swelling is a common presenting complaint to the surgical clinic. However, among the list of differential diagnoses, Canal of Nuck (CON) cyst, which is rare, is not usually considered and can lead to delayed or misdiagnosis. We report the case of a healthy 41 -year-old woman with a short history of left inguinal swelling initially thought to be an inguinal hernia. Ultrasound showed a unilocular avascular cystic lesion with posterior acoustic enhancement, with no peritoneal cavity communication. Computed tomography scan confirmed the presence of a well -defined, non - enhancing, thin-walled encysted lesion anteromedial to the left common femoral vessels. Surgery confirmed the presence of a CON cyst. It is a rare developmental disorder, especially in the adult female population and should be considered as a differential diagnosis for groin swelling. Imaging can help establish a diagnosis prior to surgery.
2.Spontaneous temporosphenoidal meningoencephalo cele as a rare cause of non-traumatic cerebrospinal fluid rhinorrhoea
Bushra Johari ; Hazman Mohd Nor ; Gnana Kumar ; Prepageran Narayanan
Neurology Asia 2015;20(2):203-206
Cranial encephaloceles are rare conditions, which are more commonly seen in the anterior rather than in
the middle cranial fossa. Temporal lobe encephalocele can present with a variety of clinical symptoms,
amongst which include occult or symptomatic cerebrospinal fluid (CSF) fistula. We present a case of
a patient with a short history of rhinorrhea who was found to have a CSF pool in the sphenoid sinus
and right anteromedial temporosphenoidal encephalocele, which mimics sphenoid mucocoele, a much
more common entity. This case highlights the imaging findings of temporosphenoidal encephalocoele
and the diagnostic clues in differentiating this rare condition from the commoner mimics.
Cerebrospinal Fluid

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