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Published on: January 22, 2022
A laparoscopic approach to Nuck's duct endometriosis
Jesus S Jiménez1, Patricia Barbero, Alvaro Tejerizo
1Department of Gynecological Endoscopic Surgery, Hospital 12 de Octubre, Madrid, Spain. jjimenez.hdoc@salud.madrid.org
Objective:
To report a case of uncommon endometriosis located in the Nuck's duct and its laparoscopic resolution.
Design:
Case report.
Setting:
Gynecologic department at 12 de Octubre University Hospital, Madrid.
Patient(S):
A 35-year-old woman, gravida 1 para 1, presented with an inguinal right mass. She had a right nephrectomy because of acute pyelonephritis. Computed tomography showed a cystic lesion that was suggestive of a Nuck's duct cyst. Fine-needle aspiration cytology was performed, and endometriosis was determined.
Intervention(S):
Cyst removal and closure of the internal inguinal ring's defect by the laparoscopic approach.
Main Outcome Measure(S):
Disease free.
Result(S):
The intervention was successfully performed by laparoscopic approach. The postoperative evolution was good, and the patient was discharged 2 days after surgery.
Conclusion(S):
Inguinal or Nuck's duct are both uncommon locations for endometriosis; therefore, it is difficult to suspect in patients without a surgical history. Once identified, the treatment involves removal of the endometrioma and repair of the internal inguinal ring. A laparoscopic approach should be considered when possible.
