Pseudomyxoma peritonei involving the canal of Nuck: The added value of magnetic resonance imaging for detection and presurgical planning

Carmelo Sofia, MD; Maria Adele Marino, MD; Erica Milone, MD; Antonio Ieni, MD; Alfredo Blandino, MD; Giorgio Ascenti, MD; Antonio Macrì, MD

Radiology Case Reports (Jun 2022)

Pseudomyxoma peritonei involving the canal of Nuck: The added value of magnetic resonance imaging for detection and presurgical planning

Carmelo Sofia, MD,
Maria Adele Marino, MD,
Erica Milone, MD,
Antonio Ieni, MD,
Alfredo Blandino, MD,
Giorgio Ascenti, MD,
Antonio Macrì, MD

Affiliations

Carmelo Sofia, MD: Department of Biomedical Sciences and Morphologic and Functional Imaging, University of Messina, Messina, Italy; Corresponding author.
Maria Adele Marino, MD: Department of Biomedical Sciences and Morphologic and Functional Imaging, University of Messina, Messina, Italy
Erica Milone, MD: Peritoneal Surface Malignancy and Soft Tissue Sarcoma Program, Messina University Medical School Hospital, Messina, Italy
Antonio Ieni, MD: Department of Human Pathology in Adult and Developmental Age ''Gaetano Barresi'', Section of Pathology, University of Messina, Messina, Italy
Alfredo Blandino, MD: Department of Biomedical Sciences and Morphologic and Functional Imaging, University of Messina, Messina, Italy
Giorgio Ascenti, MD: Department of Biomedical Sciences and Morphologic and Functional Imaging, University of Messina, Messina, Italy
Antonio Macrì, MD: Peritoneal Surface Malignancy and Soft Tissue Sarcoma Program, Messina University Medical School Hospital, Messina, Italy

Journal volume & issue: Vol. 17, no. 6
pp. 1887 – 1889

Abstract

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The canal of Nuck is an abnormal patent pouch of the parietal peritoneum caused by the incomplete obliteration of the processus vaginalis in females. The most common disorders of the canal of Nuck are: hernia, hydrocele and endometriosis. Pseudomyxoma Peritonei (PMP) is a clinical condition characterized by the accumulation of mucinous material on the surfaces and in the recesses of the peritoneal cavity, resulting from the perforation of an appendiceal mucinous neoplasm. We report the case of a young woman with a clinical history of chronic pelvic pain and infertility who was referred to our center after being diagnosed with appendiceal mucinous neoplasm and PMP. MRI staging examination revealed the right canal of Nuck filled with mucinous material, which was confirmed at surgery. The involvement of canal of Nuck is extremely rare in PMP. MRI provides a sensitive imaging modality for appropriate preoperative planning of PMP and helps surgeons identify uncommon disease sites such such as the canal of Nuck in women, which, if missed, may prevent complete cytoreductive surgery.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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