Endometriosis in the Canal of Nuck presenting with suprapubic pain: A case report and literature review

Swatesutipun, Valeerat; Srikuea, Kanoklada; Wakhanrittee, Junsujee; Thamwongskul, Chatchai

doi:10.1016/j.eucr.2020.101497

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…Additionally, a patent canal of Nuck is a rare but potential location for seeding of endometrial tissue, with a prevalence of 0.3–0.6% of all endometriosis cases [ 7 ]. Theories for extra-pelvic endometriosis include retrograde menstruation, hematogenous or lymphatic spread or coelomic metaplasia [ 7 , 8 ]. A female groin mass implicated with endometriosis is more likely to present with cyclical pain consistent with menstruation.…”

Section: Discussionmentioning

confidence: 99%

Cyst and endometriosis of the canal of Nuck: rare differentials for a female groin mass

Hwang¹,

Bultitude²,

Diab³

et al. 2022

Journal of Surgical Case Reports

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Cyst of the canal of Nuck is a rare abnormality of the female inguinal canal that can present similarly to a hernia. If incompletely obliterated, the patent canal of Nuck may predispose to an inguinal hernia or hydrocele due to direct communication with the abdominal cavity. Such defects are normally detected and repaired in early childhood but can also present later in adult life. We report the case of a 44-year-old woman who presents with a fluctuant, mobile and irreducible left-sided groin mass. Ultrasound of the groin identified a cystic structure in the canal of Nuck. The patient underwent successful open herniorrhaphy with excision of the cyst and mesh repair of the inguinal canal. Subsequent histopathological examination also revealed concurrent endometriosis of the canal of Nuck. A systematic approach to differential diagnoses for a female groin mass, further investigations and management are discussed.

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Section: Discussionmentioning

confidence: 99%

Cyst and endometriosis of the canal of Nuck: rare differentials for a female groin mass

Hwang¹,

Bultitude²,

Diab³

et al. 2022

Journal of Surgical Case Reports

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“…Since the inferior epigastric artery may interfere with the surgical field of vision [16,17], it is necessary to adjust the surgical trocar or open the posterior wall of the inguinal canal [6]. In addition, it has been reported that HCN may be associated with endometriosis [3,18] or benign tumors and malignancy [9,19,20]. Therefore, ensuring the complete resection of HCN is particularly important.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, ensuring the complete resection of HCN is particularly important. If laparoscopic resection is difficult, the courage to convert to the traditional anterior approach is required [18,21] (Fig. 5).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review

et al. 2021

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Background Hydrocele of canal of Nuck (HCN) is a rare disease in adult female. The diagnosis and treatment of HCN is still a challenge for surgeons. Case presentation A 56-year-old female presented with recent onset of occasional pain during exercise and an asymptomatic left groin swelling. Ultrasonography results were suspicious for left inguinal hernia incarceration and computed tomography (CT) scan showed no intestinal obstruction, which was considered as HCN. Laparoscopic hydrocelectomy of the HCN and a routine laparoscopic hernia repair via the transabdominal preperitoneal (TAPP) approach were performed. Postoperative pathology showed no malignant lesions or endometriosis. Conclusions The preoperative diagnosis of HCN is extremely important. Surgeons should choose appropriate surgical methods for different anatomical HCNs based on the preoperative diagnosis.

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Going against the grain: a case report of an endometriosis in the canal of Nuck

Karam,

Azizi,

Azizi

et al. 2024

European Journal of Case Reports in Internal Medicine

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The canal of Nuck is an embryological remnant of the processus vaginalis found in females, and is a potential site for endometriosis seeding. Endometriosis in the canal of Nuck is an exceedingly rare condition. Patients with this condition present with groin swelling or suprapubic pain. We describe a case of a 44-year-old female presenting for left inguinal pain and a lump. Physical examination revealed a 3 cm reducible mass; magnetic resonance imaging (MRI) revealed a 6.2 × 3.0 × 1.7 cm multiloculated cystic structure, extending from the left pelvic region into the left inguinal region near the round ligament. The patient underwent surgical excision of the mass. Pathology revealed a multi-cystic lesion lined with mesothelium cells and a fibrous wall with multiple foci of misplaced endometrial glands and stroma, corroborating a diagnosis of endometriosis in the canal of Nuck.

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Endometriosis in the Canal of Nuck presenting with suprapubic pain: A case report and literature review

Cited by 4 publications

References 5 publications

Cyst and endometriosis of the canal of Nuck: rare differentials for a female groin mass

Cyst and endometriosis of the canal of Nuck: rare differentials for a female groin mass

Laparoscopic surgical treatment for hydrocele of canal of Nuck: A case report and literature review

Going against the grain: a case report of an endometriosis in the canal of Nuck

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