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Hydrocoele of the canal of Nuck is a rare condition seen in females resulting from failure of canal of Nuck to completely obliterate. The canal of Nuck being an abnormal peritoneal pouch remains patent and extends into the labia majora anterior to the round ligament of the uterus. It usually presents as suspected inguinal hernia, with the diagnosis often made on the operation table. Following is a case of 40 years old female patient who presented with swelling in the inguinal region since 4 months associated with pain since four days. Ultrasonography (USG) revealed a welldefined cystic lesion in left inguinal region. Elastography revealed a red-blue-green spectrum.