Nuck's Canal Cyst Associated With Endometriosis: A Case Report

TL;DR

A rare case of a Nuck's canal cyst associated with endometriosis is reported in a young woman, diagnosed and treated successfully with surgery.

Contribution

This case report highlights the rare association between Nuck's canal cyst and endometriosis.

Findings

A 20-year-old woman presented with right inguinal pain and a Nuck's canal cyst.

Endometriosis was found to be associated with the Nuck's canal cyst in this case.

Surgical resection and laparoscopic reconstruction provided a satisfactory outcome.

Abstract

Nuck's canal is the incomplete obliteration of the processus vaginalis, and it is a rare condition that should consider inguinodynia and an increased volume in the inguinal region as a differential diagnosis. Endometriosis is a systemic disease that affects young women. This condition has many clinical presentations, and it is exceptional to find it associated with a Nuck's canal cyst. We present the case of a 20-year-old woman who presented with right inguinal pain associated with increased volume. An inguinal ultrasound and abdominopelvic computed tomography (CT) were performed, and a right Nuck's canal cyst was diagnosed. The condition was managed surgically with resection of the Nuck's canal cyst and transabdominal preperitoneal plasty (TAPP) for inguinal hernia laparoscopic reconstruction, with a satisfactory outcome.

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