ULTRASOUND AND HOOKWIRE NEEDLE PLACEMENT FOR LOCALIZATION OF A HYDROCELE OF THE CANAL OF NUCK

Background: Hydrocele of-the canal of Nuck is a mobile mass entity tha t can be difficult to locate and excise. We report the use of ultrasou nd scan and a hookwire needle to localize and stabilize this mass, mak ing its excision easier.Case: A 24-year-old white female presented wit h a 6-month history of a painful vulvar mass associated with increased discomfort with prolonged standing. Thorough evaluation revealed a su spected hydrocele that was easily palpable in the standing position bu t not in the lithotomy position. Translabial ultrasonography and a hoo kwire needle were used to localize and stabilize the mobile vulvar mas s, eliminating the need for extensive surgical exploration. Conclusion : Ultrasound scanning and needle localization is a useful technique to identify and stabilize a mobile mass, making its surgical excision po ssible without extensive exploration and trauma.