The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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A Case Report of Korean Medicine in the Treatment of a Patient after Excision of the Cyst of the Canal of Nuck: One Side Occurred First, and then the Other Side Occurred

이시성으로 대측에 생긴 누크관 수종 절제술을 받은 환자에 대한 한의치료 1례

  • Nayeon Hur (Dept. of Internal Medicine, College of Korean Medicine, Woosuk University) ;
  • Yumin Seo (Dept. of Internal Medicine, College of Korean Medicine, Woosuk University) ;
  • Seiyoung Kang (Dept. of Internal Medicine, College of Korean Medicine, Woosuk University) ;
  • Yeonju Kim (Dept. of Neuropsychiatry, College of Korean Medicine, Woosuk University) ;
  • Minsu Ju (Dept. of Korean Medicine Rehabilitation, College of Korean Medicine, Woosuk University)
  • 허나연 (우석대학교 한의과대학 한방내과학교실) ;
  • 서유민 (우석대학교 한의과대학 한방내과학교실) ;
  • 강세영 (우석대학교 한의과대학 한방내과학교실) ;
  • 김연주 (우석대학교 한의과대학 신경정신과학교실) ;
  • 주민수 (우석대학교 한의과대학 한방재활의학과)
  • Received : 2024.09.06
  • Accepted : 2024.11.01
  • Published : 2024.10.30
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Abstract

Objective: The purpose of this clinical case was to evaluate the efficacy of treatment with Korean medicine after excision of the cyst of the canal of Nuck. Methods: The patient was treated with Korean medicine, such as acupuncture and moxibustion, to reduce pain around the surgical region and improve gastrointestinal function. Pain was assessed using the numerical rating scale (NRS). Quality of life was assessed using the EuroQol 5 dimensions 5 levels (EQoL-5D-5L) and the Korean version of the World Health Organization quality of life assessment (WHOQOL-BREF). The gastrointestinal function was checked by inquiring about the symptoms each morning. Results: After treatment, changes were observed in the NRS (when moving, from 6 to 2; when resting, from 5 to 1.5), the EQ-5D-5L (from 12 to 8), and the WHOQOL-BREF (from 77 to 76, and then back to 77). Gastrointestinal discomfort did not appear during the hospitalization period. Conclusion: Postoperative Korean medicine treatment can reduce pain and improve quality of life without causing uncomfortable symptoms in the gastrointestinal tract. Therefore, Korean medicine is recommended for pain management, especially in patients who suffer from gastrointestinal discomfort.

Keywords

References

  1. Anderson CC, Broadie TA, Mackey JE, Kopecky KK. Hydrocele of the canal of Nuck: ultrasound appearance. Am Surg 1995;61(11):959-61. 
  2. Prodromidou A, Paspala A, Schizas D, Spartalis E, Nastos C, Machairas N. Cyst of the Canal of Nuck in adult females: A case report and systematic review. Biomed Rep 2020;12(6):333-8. doi: 10.3892/br.2020.1295. Epub 2020 Mar 27. PMID: 32346477; PMCID: PMC7184959. 
  3. Stickel WH, Manner M. Female hydrocele (cyst of the canal of Nuck): Sonographic appearance of a rare and little-known disorder. J Ultrasound Med 2004;23(3):429-32. doi: 10.7863/jum.2004.23.3.429. 
  4. Ahn SB, Yeom JY, Hur NY, Kang SY. Improvement of Symptoms after Excision of Hydrocele of Canal of Nuck with Korean Medicine: A Case Report. J Int Korean Med 2023;44(5):941-7. 
  5. Yoost B, Crawford LR. Fundamentals of nursing: Active learning for collaborative practice. 2nd ed. St. Louis, Missouri: Elsevier; 2020, p. 868-90. 
  6. Kim SH, Ahn JH, Ock MS, Shin SJ, Park JY, Luo N, et al. The EQ-5D-5L valuation study in Korea. Qual Life Res 2016;25(7):1845-52. 
  7. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean Version of WHO Quality of Life Scale Abbreviated Version (WHOQOL-BREF). J Korean Neuropsychiatr Asssoc 2000;29(3):571-9. 
  8. Akkoyun I, Kucukosmanoglu I, Yalinkilinc E. Cyst of the canal of nuck in pediatric patients. N Am J Med Sci 2013;5(6):353-6. doi: 10.4103/1947-2714.114166. PMID: 23923108; PMCID: PMC3731865. 
  9. Papparella A, Vaccaro S, Accardo M, DE Rosa L, Ronchi A, Noviello C. Nuck cyst: a rare cause of inguinal swelling in infancy. Minerva Pediatr (Torino) 2021;73(2):180-3. doi: 10.23736/S2724-5276.18.05205-2. PMID: 30035501. 
  10. Kohlhauser M, Pirsch JV, Maier T, Viertler C, Fegerl R. The Cyst of the Canal of Nuck: Anatomy, Diagnostic and Treatment of a Very Rare Diagnosis-A Case Report of an Adult Woman and Narrative Review of the Literature. Medicina 2022;58(10):1353. 
  11. Heo J. Deayeokdongeuibogam. Seoul: Dongeuibogam publishing co.; 2005, p. 818, 828, 834. 
  12. Na JP. Haneodasajun. Sanghai: Haneodasajun publishing co.; 1994, p. 284. 
  13. Hwang YC, Lee IS, Ryu Y, Lee MS, Chae Y. Exploring traditional acupuncture point selection patterns for pain control: data mining of randomized controlled clinical trials. Acupunct Med 2020;964528420926173. doi: 10.1177/0964528420926173. Epub ahead of print. PMID: 32567332. 
  14. Taghavi R, Tabasi KT, Mogharabian N, Asadpour A, Golchian A, Mohamadi S, et al. The effect of acupuncture on relieving pain after inguinal surgeries. Korean J Pain 2013;26(1):46-50. doi: 10.3344/kjp.2013.26.1.46 
  15. Na CS, Choi DH, Kim WJ. The Effect of LI4, ST36 & LI4+ST36 acupuncture on Rat Jaw Opening Reflex by Upper Incisor Pulp Stimulation. Korean Journal of Acupuncture 2001;20(1):95-103. 
  16. Lu DX, Liu F, Yan J, Liu HX, Sun ZG, Chen BG, et al. Combination of acupuncture and traditional Chinese medicine for functional constipation: A meta-analysis. J of Medicine in Novel Technology and Devices 2022;16:1-10. https://doi.org/10.1016/j.medntd.2022.100184. 
  17. Dong X, Yin T, Yu S, He Z, Chen Y, Ma P, et al. Neural Responses of Acupuncture for Treating Functional Dyspepsia: An fMRI Study. Frontiers in neuroscience 2022;16:819310. https://doi.org/10.3389/fnins.2022.819310 
  18. Oh JE, Kim SN. Anti-Inflammatory Effects of Acupuncture at ST36 Point: A Literature Review in Animal Studies. Front Immunol 2022 Jan 12;12:813748. doi: 10.3389/fimmu.2021.813748. PMID: 35095910; PMCID: PMC8790576. 
  19. Lv ZT, Li ZQ, Zhou X, Ma WW, Zhang JM, Chen AM. Acupuncture Versus Non-Steroidal Anti-Inflammatory Drugs for Treatment of Chondromalacia Patellae: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Forschende Komplementarmedizin / Research in Complementary Medicine 2016;23(6):344-50. 
  20. Li SM, Guo R, Chen P, Du WS, Yan MZ, Cheng WZ. Systematic Review and Meta-analysis of Acupotomy Combined with Maneuver Compared with Non-steroidal Anti-inflammatory Drug in Treatment of Knee Osteoarthritis. Medical Recapitulate 2021;27(22):4553-9. 
  21. Zhang R, Wen SY, Zhn HS, Lin X, Zhang M, Pang J, et al. Acupuncture for lumbar myofascial pain syndrome: systematic review and Meta-analysis. Chinese Acupuncture & Moxibustion 2023;43(11):1324-32.