DOI: 10.12890/2024_005024
Going against the grain: a case report of an endometriosis in the canal of Nuck
Authors
emile.dabaj@gmail.com
Keywords
Endometriosis, canal of Nuck, inguinal painAbstract
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.
References
- Swatesutipun V, Srikuea K, Wakhanrittee J, Thamwongskul C. Endometriosis in the canal of Nuck presenting with suprapubic pain: a case report and literature review. Urol Case Rep 2020 34:101497.
- Cervini P, Wu L, Shenker R, O’Blenes C, Mahoney J. Endometriosis in the canal of Nuck: atypical manifestations in an unusual location. Can J Plast Surg 2004;12:73–75.
- Prodromidou A, Pandraklakis A, Rodolakis A, Thomakos N. Endometriosis of the canal of Nuck: a systematic review of the literature. Diagnostics (Basel) 2020;11:3.
